Wrist#

Two types of casts are evaluated for treatment on elderly patients with a common type of wrist fracture.

From the authors: “Distal radius fractures are common fractures and the cornerstone of treatment remains immobilization of the wrist in a cast. At present, there is a scarcity of studies that compare different cast immobilization methods. The objective of the study was therefore to compare volar-flexion and ulnar deviation cast to functional cast position in the treatment of dorsally displaced distal radius fracture among elderly patients.”

Initialization#

library(fosdata)
data <- fosdata::wrist

Accessing fields#

data <- fosdata::wrist
pain03m <- data$pain03m # Just a random field in the dataset

Interactive R Sample#

You can use the R editor below to interactively explore the dataset and generate plots. This contains a fully self-contained R environment with fosdata, ggplot2, and dplyr loaded.

webR + fosdata Test

Console

Plot

No plot generated yet.

LLM instructions#

If using an LLM, you can copy-paste the following instructions to accompany your prompt to inform the model of the fields and their types in the dataset.

LLM Instructions

The fosdata::wrist dataset containing the following fields:

fields[47]{name,type,values}:
  id,character,n/a
  age,numeric,n/a
  sex,numeric,n/a
  handed_side,numeric,n/a
  centre,numeric,n/a
  fracture_side,numeric,n/a
  cast_position,numeric,n/a
  pcs_start,numeric,n/a
  operativetreatment,numeric,n/a
  pain03m,numeric,n/a
  stiffness03m,numeric,n/a
  grip_strength_fractured_site,numeric,n/a
  grip_strength_controlled_site,numeric,n/a
  grip_strength_proportion,numeric,n/a
  times_outside_from_home,numeric,n/a
  distance_per_week,numeric,n/a
  ancillary_inside,numeric,n/a
  ancillary_outside,numeric,n/a
  guided_physiotherapy,numeric,n/a
  guided_physiotherapy_times,numeric,n/a
  cast_changes,numeric,n/a
  x15d3m,numeric,n/a
  x15d12m,numeric,n/a
  uv_3m,numeric,n/a
  inclination_3m,numeric,n/a
  angulation_3m,numeric,n/a
  uv_cast,numeric,n/a
  inclination_cast,numeric,n/a
  angluation_cast,numeric,n/a
  wrist_flexion_in_cast,numeric,n/a
  x3mcpra_dulnardeviationdg,numeric,n/a
  uv_pre,numeric,n/a
  inclination_pre,numeric,n/a
  angulation_pre,numeric,n/a
  articulariness,numeric,n/a
  psu_fracture,numeric,n/a
  qd3m,numeric,n/a
  qd12m,numeric,n/a
  vas3m,numeric,n/a
  vas12m,numeric,n/a
  pcs3m,numeric,n/a
  pcs12m,numeric,n/a
  cast_change_category,numeric,n/a
  prwe12m,numeric,n/a
  prwe3m,numeric,n/a
  d_pcs1,numeric,n/a
  d_pcs2,numeric,n/a

Fields#

Name	Description	Type	Min	Max	Values
`id`	ID number	character	-	-	-
`age`	Age in years	numeric	65	94	-
`sex`	0 = man and 1 = female	numeric	-	1	-
`handed_side`	1 = right and 2 = left	numeric	1	2	-
`centre`	Centres are anonymised in this excel file	numeric	1	3	-
`fracture_side`	1 = right and 2 = left	numeric	1	2	-
`cast_position`	1 = functional cast position and 2 = volar-flexion and ulnar deviation cast position	numeric	1	2	-
`pcs_start`	PCS score at baseline of follow-up	numeric	-	47	-
`operativetreatment`	No-operative treatment during follow-up = 0 and operative treatment during follow-up	numeric	-	1	-
`pain03m`	Reported pain of the fractured wrist at the outpatient visit at 3 months: 0 = no and 1 = yes	numeric	-	1	-
`stiffness03m`	Reported stiffness of the fractured wrist at the outpatient visit at 3 months: 0 = no and 1 = yes	numeric	-	1	-
`grip_strength_fractured_site`	undefined	numeric	2	32	-
`grip_strength_controlled_site`	undefined	numeric	6	54	-
`grip_strength_proportion`	Grip strength of fractured side to controlled side, proportion	numeric	0.0667	1	-
`times_outside_from_home`	How many times the patient leave from home per week in average	numeric	-	14	-
`distance_per_week`	How many kilometers does the patient walk when leaving from home in average	numeric	-	17.5	-
`ancillary_inside`	Does the patient use walking aids inside of home: 0 = no and 1 = yes	numeric	-	1	-
`ancillary_outside`	Does the patient use walking aids outside of home: 0 = no and 1 = yes	numeric	-	1	-
`guided_physiotherapy`	Did the patient use guided physiotherapy for fractured hand during follow-up: 0 = no and 1 = yes	numeric	-	1	-
`guided_physiotherapy_times`	How many physiotherapist visits patient underwent if guided physiotherapy was used?	numeric	-	15	-
`cast_changes`	How many cast changes patient underwent, if any?	numeric	-	3	-
`x15d3m`	Health-related quality of life measured with 15D at 3 months of follow-up	numeric	0.4428	1	-
`x15d12m`	Health-related quality of life measured with 15D at 12 months of follow-up	numeric	0.5441	1	-
`uv_3m`	Ulnar variance at 3 months in millimeters: + = ulnar bone is more lengthy than radial bone	numeric	-2.2	12.1	-
`inclination_3m`	undefined	numeric	7	25	-
`angulation_3m`	undefined	numeric	-10	35	-
`uv_cast`	Ulnar variance after closed reduction in millimeters: + = ulnar bone is more lengthy than radial bone	numeric	-3.6	9	-
`inclination_cast`	Inclination after closed reduction	numeric	9	26	-
`angluation_cast`	Angulation after closed reduction: + dorsal angulation and - volar angulation	numeric	-10	32	-
`wrist_flexion_in_cast`	Angulation between 2nd metacarpal and radial bone after closed reduction and casting: + = dorsal flexion and - = volar flexion. In degrees	numeric	-38	23	-
`x3mcpra_dulnardeviationdg`	Angulation between 3rd metacarpal and radial bone after closed reduction and casting: + = ulnar-deviation and - = volar-deviation In degrees	numeric	-6	24.5	-
`uv_pre`	Ulnar variance before closed reduction in millimeters: + = ulnar bone is more lengthy than radial bone	numeric	-2.5	17.1	-
`inclination_pre`	Inclination before closed reduction	numeric	4	26	-
`angulation_pre`	Angulation before closed reduction: + dorsal angulation and - volar angulation	numeric	0.5	50	-
`articulariness`	Articular line of fracture: 0 = no and 1 = yes	numeric	-	1	-
`psu_fracture`	Processus styloideus ulna fracture: 0 = no and 1 = yes	numeric	-	1	-
`qd3m`	Quick-DASH at 3 months	numeric	-	89	-
`qd12m`	Quick-DASH at 12 months	numeric	-	75	-
`vas3m`	VAS for pain at 3 months	numeric	-	76	-
`vas12m`	VAS for pain at 12 months	numeric	-	73	-
`pcs3m`	PCS at 3 months	numeric	-	42	-
`pcs12m`	PCS at 3 months	numeric	-	47	-
`cast_change_category`	Underwent cast change during follow-up: 0 = no and 1 = one or more changes	numeric	-	1	-
`prwe12m`	PRWE at 12 months	numeric	-	81.5	-
`prwe3m`	PRWE at 3 months	numeric	-	90	-
`d_pcs1`	PCS score at 3 months minus (-) PCS score at baseline	numeric	-27	36	-
`d_pcs2`	PCS score at 12 months minus (-) PCS score at baseline	numeric	-21	39	-

Source#

Raittio L, Launonen AP, Hevonkorpi T, Luokkala T, Kukkonen J, Reito A, et al. (2020) Two casting methods compared in patients with Colles’ fracture: A pragmatic, randomized controlled trial. PLoS ONE 15(5): e0232153. https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0232153