1-Year outcome of concomitant intracarpal lesions in patients with dislocated distal radial fractures

• Verfasst von: Gologan, Renata [VerfasserIn]
• Verfasst von: Obertacke, Udo [VerfasserIn]
• Verfasst von: Schreiner, Ute [VerfasserIn]
• Titel: 1-Year outcome of concomitant intracarpal lesions in patients with dislocated distal radial fractures
• Titelzusatz: a systematic assessment of 78 distal radial fractures
• Verf.angabe: Renata Gologan, V.M. Ginter, A. Haeffner, U. Obertacke, U. Schreiner
• Jahr: 2016
• Jahr des Originals: 2015
• Umfang: 8 S.
• Fussnoten: Gesehen am 22.02.2019 ; Published online: 30 November 2015
• Titel Quelle: Enthalten in: Archives of orthopaedic and trauma surgery
• Ort Quelle: Berlin : Springer, 1903
• Jahr Quelle: 2016
• Band/Heft Quelle: 136(2016), 3, Seite 425-432
• ISSN Quelle: 1434-3916
• DOI: doi:10.1007/s00402-015-2357-9
• Datenträger: Online-Ressource
• Sprache: eng
• Sach-SW: Concomitant ligament lesions
• Sach-SW: Distal radius fracture
• Sach-SW: Intracarpal lesions
• Sach-SW: Outcome distal radius fracture
• K10plus-PPN: 1587931389

Abstract

Introduction: Ligamentous lesions are concomitant to dislocated distal radius fractures in a high percentage. The purpose of this study was to evaluate the relevance of intracarpal lesions. Methods: Seventy eight of an original cohort of 104 distal radius fractures (74 %) were studied over a follow-up period of one year after surgery with complete data (X-rays, CT, MRI, follow-up X-rays and questionnaire). Results: Most of our radius fractures (AO 23 type: A 39, B 9, C 30) present additional lesions: 97 %. One-year evaluation showed an average Castaing score of 4.5 ± 2.5 points, means a “good” result of a scale of 0-27. Fifty five of seventy eight had an “excellent” or “good” result (<6 points). No patient had more than 12 points (“fair”). Conclusions: The dislocated distal radial fracture implies severe and complex injury to the whole wrist, mostly concerning intracarpal concomitant lesions (MRI). Surgical therapy of dislocated radius fractures followed by 6 weeks relief through thermoplastic splint seems to be sufficient to achieve good 1-year results. MRI-detectable carpal lesions at the time of the radial fracture are common, but only a few of them seem to decompensate later, give symptoms and became of therapeutic relevance.