Arthroscopic assessment of soft tissue injuries in comminuted intra-articular fractures of the distal radius
- VernacularTitle:关节镜诊治关节内桡骨远端粉碎性骨折的软组织损伤
- Author:
Frankie Leung
;
Paata Gudushauri
;
Boris Fung
;
Shew Ping Chow
- Publication Type:Journal Article
- Keywords:
Wrist arthroscopy;
Distal radius fracture;
Triangular fibrocartilage complex;
Scapholunate ligament
- From:
Chinese Journal of Orthopaedic Trauma
2006;8(3):203-207
- CountryChina
- Language:Chinese
-
Abstract:
Objective To diagnose and evaluate soft tissue injuries in intra-articular fractures of the distal radius using arthroscopy. Methods Twenty young patients with displaced intra-articular fractures of distal radius were recruited in this prospective study. Three AO C2 and 17 C3 fractures were included. After arthroscopic examination fractures of distal radius were treated by external fixation with limited internal fixation or open plate fixation.Results Triangular fibrocartilage complex (TFCC) injury was found in 18 patients (90%) . Most were isolated Palmer type 1D injuries (67 %). Scapho-lunate ligament injury was found in two patients: one partial tear (grade Ⅱ) and one complete tear (grade Ⅲ). Follow-ups ranged from 6 to 18 months. At the last follow-up, wrist function was excellent in one patient (6%), good in eight(44%) and fair in 11 (50%). Conclusion TFCC injuries are common in intra-articular fractures of the distal radius while injuries to scapho-luuate ligament are uncommon.
