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The final decision rule for our population was based on the following elements: 1) age ≥55 years, 2) inability to continue activity after trauma, 3) support injured wrist by contralateral hand for pain relief, 4) wrist deformity, 5) swelling and/or hematoma and 5) reduced range of wrist motion.
We believe that any reduced range of wrist motion is an indication for radiographic assessment.
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Except for localised tenderness, we identified the same predictors, and therefore, associations between wrist deformity, presence of hematoma or swelling, reduced range of motion and wrist fractures seem justified.
Age over 55 years, inability to carry weight directly after trauma, support of injured wrist by the contralateral hand for pain relief, presence of swelling and/or hematoma, visible wrist deformity and reduced range of motion were associated with the presence of a wrist fracture.
We composed a decision rule based on the presence of any of the following variables: age ≥55 years, inability to continue activity after trauma, support injured wrist by contralateral hand for pain relief, wrist deformity, swelling/hematoma and reduced range of motion.
Multiple studies [11-15,23] found associations between visible wrist deformity, presence of hematoma or swelling and reduced range of motion and the presence of a fracture.
Use of the heater significantly reduces range.
Having a higher BMI was associated with an increased risk of ankle fracture, and a reduced risk of wrist and hip fractures, over the full study age range (Fig. 2 and Table 2).
Upon clinical examination, there was a severe swelling and tenderness of the right wrist with a reduced range of motion.
Increasing adiposity was associated with an increased risk of ankle fracture but a reduced risk of wrist and hip fractures.
► Compared with lean women, obese women had a 43% and 77% reduced risk of wrist and hip fractures, respectively.
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CEO of Professional Science Editing for Scientists @ prosciediting.com