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1.
J Hand Surg Eur Vol ; : 17531934231209661, 2023 Oct 26.
Article in English | MEDLINE | ID: mdl-37882677

ABSTRACT

LEVEL OF EVIDENCE: III.

2.
J Hand Surg Am ; 47(2): 190.e1-190.e10, 2022 02.
Article in English | MEDLINE | ID: mdl-34112544

ABSTRACT

PURPOSE: The aim of this study was to identify psychological factors associated with pain intensity and disability following distal radius fracture. METHODS: We prospectively followed 216 adult patients with distal radius fracture for 9 months. Demographics, injury and treatment details, and psychological measures (Hospital Anxiety and Depression Score [HADS], Pain Catastrophizing Scale, Posttraumatic Stress Disorder Checklist-Civilian, Tampa Scale for Kinesiophobia, Illness Perception Questionnaire Brief [IPQB], General Self-Efficacy Scale, and Recovery Locus of Control [RLOC]) were collected at enrollment. Multivariable linear regression was used to identify factors associated with Disabilities of the Arm, Shoulder, and Hand Questionnaire (DASH) and Likert pain scores. RESULTS: Higher 10-week DASH scores were associated with increased age, the presence of a nerve pathology, increased HADS Depression subscale scores, increased IPQB scores, and lower RLOC scores. Higher 9-month DASH scores were associated with increased age, increased deprivation scores, increased numbers of medical comorbidities, a greater degree of radial shortening, increased HADS Depression subscale scores, and lower RLOC scores. A higher 10-week pain score was associated with increased deprivation and IPQB scores. A higher pain score at 9 months was associated with an increased number of medical comorbidities. CONCLUSIONS: Psychosocial factors measured early after fracture are associated with pain and disability up to 9 months after distal radius fracture. Illness perception is a potentially modifiable psychological construct not previously studied in hand conditions. It may provide a suitable target for psychological interventions that could enhance recovery. TYPE OF STUDY/LEVEL OF EVIDENCE: Prognostic II.


Subject(s)
Radius Fractures , Adult , Disability Evaluation , Hand , Humans , Pain/psychology , Pain Measurement , Radius Fractures/complications , Radius Fractures/therapy , Treatment Outcome
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