Intracarpal Soft-Tissue Lesions Associated with an Intra-Articular Fracture of the Distal End of the Radius

Sixty patients who had a displaced intra-articular fracture of the distal end of the radius were managed with manipulative reduction and internal fixation performed under both fluoroscopic and arthroscopic guidance. According to the AO/ASIF classification system, seven fractures were type B1, two we...

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Bibliographic Details
Published in:	Journal of bone and joint surgery. American volume Vol. 78; no. 3; pp. 357 - 65
Main Authors:	GEISSLER, WILLIAM B, FREELAND, ALAN E, SAVOIE, FELIX H, McINTYRE, LEWIS W, WHIPPLE, TERRY L
Format:	Journal Article
Language:	English
Published:	Boston, MA Copyright by The Journal of Bone and Joint Surgery, Incorporated 01-03-1996 Journal of Bone and Joint Surgery Incorporated
Subjects:	Adolescent Adult Biological and medical sciences Colles' Fracture - classification Colles' Fracture - complications Colles' Fracture - therapy Female Fracture Fixation - methods Humans Injuries of the limb. Injuries of the spine Ligaments, Articular - injuries Male Medical sciences Middle Aged Soft Tissue Injuries - complications Traumas. Diseases due to physical agents Ulna Fractures - complications Ulna Fractures - therapy Wrist Injuries - complications Human Radius Orthopedic reduction Orthopedic treatment Diseases of the osteoarticular system Internal Osteosynthesis Fracture Joint Trauma Displacement Orthopedic surgery Fixation Distal Complication Frequency Severity score Soft tissue Lesion
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Summary:	Sixty patients who had a displaced intra-articular fracture of the distal end of the radius were managed with manipulative reduction and internal fixation performed under both fluoroscopic and arthroscopic guidance. According to the AO/ASIF classification system, seven fractures were type B1, two were type B2, three were type B3, thirteen were type C1, twelve were type C2, and twenty-three were type C3. Forty-one patients (68 per cent) had soft-tissue injuries of the wrist, including tears of the triangular fibrocartilage complex (twenty-six patients), the scapholunate interosseous ligament (nineteen), and the lunotriquetral interosseous ligament (nine). Thirteen patients had two soft-tissue injuries. Intracarpal soft-tissue injuries were identified most frequently in association with fractures involving the lunate facet of the distal articular surface or the radius.
Bibliography:	ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-1 content type line 23 ObjectType-Article-1 ObjectType-Feature-2
ISSN:	0021-9355 1535-1386
DOI:	10.2106/00004623-199603000-00006