Distal radial fractures in Parkinson's disease: 3179 cases from the Swedish Fracture Register.

Abstract

This study aimed to investigate epidemiology, injury characteristics, treatment, mortality and patient-reported outcome measures in patients with a distal radial fracture and Parkinson's disease. The patient population was obtained from the Swedish Fracture Register, and patients with Parkinson's disease were identified by data from the National Board of Health and Welfare. A total of 3179 cases were identified and matched with controls. Most fractures took place in the patient's home after a simple fall and were managed non-operatively. An anterior locking plate was the most common surgical intervention. The 1 year mortality was significantly higher among men with Parkinson's disease than in controls. Patient-reported outcome measures at the 1 year follow-up deteriorated significantly more for patients with Parkinson's disease than in controls, and patients with Parkinson's disease also experienced more problems with reoperations, pain, mobility and carrying out their usual activities.<b>Level of evidence:</b> III.