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Archives of Orthopaedic and Trauma Surgery
Published in: Archives of Orthopaedic and Trauma Surgery 5/2020

Open Access 01-05-2020 | Distal Radius Fracture | Arthroscopy and Sports Medicine

Arthroscopic assisted treatment of distal radius fractures and concomitant injuries

Authors: Tobias Kastenberger, Peter Kaiser, Gernot Schmidle, Peter Schwendinger, Markus Gabl, Rohit Arora

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 5/2020

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Abstract

Wrist arthroscopy is mainly used to assist fracture reduction and fixation and to diagnose and treat concomitant injuries mainly to the scapholunate (SL), lunotriquetral (LT) ligament and the triangular fibrocartilage complex (TFCC). Arthroscopy is beneficial in improving anatomical reduction of fracture steps and gaps in intra-articular distal radius fractures (DRFs). Yet, the literature that the functional outcome correlates with the use of arthroscopy, is limited. Non-surgical treatment and immobilization is recommended for Geissler grade I–III Sl-ligament injuries, while open reduction, ligament suture and/or K-wire pinning is mandatory for complete ligament tears according to Geissler grade IV. This manuscript describes the current literature and gives insight into the authors’ opinions and practice.
Literature
1.
Koval KJ, Harrast JJ, Anglen JO, Weinstein JN (2008) Fractures of the distal part of the radius. The evolution of practice over time. Where's the evidence? J Bone Jt Surg Am 90(9):1855–1861
2.
Atesok K, Doral MN, Whipple T, Mann G, Mei-Dan O, Atay OA et al (2011) Arthroscopy-assisted fracture fixation. Knee Surg Sports Traumatol Arthrosc 19(2):320–329PubMed
3.
Dei Giudici L, Di Muzio F, Bottegoni C, Chillemi C, Gigante A (2015) The role of arthroscopy in articular fracture management: the lower limb. Eur J Orthop Surg Traumatol 25(5):807–813PubMed
4.
Smeraglia F, Del Buono A, Maffulli N (2016) Wrist arthroscopy in the management of articular distal radius fractures. Br Med Bull 119(1):157–165PubMed
5.
Ardouin L, Durand A, Gay A, Leroy M (2018) Why do we use arthroscopy for distal radius fractures? Eur J Orthop Surg Traumatol 28(8):1505–1514PubMed
6.
Mathoulin C, Sbihi A, Panciera P (2001) Interest in wrist arthroscopy for treatment of articular fractures of the distal radius: report of 27 cases. Chir Main 20(5):342–350PubMed
7.
Forward DP, Lindau TR, Melsom DS (2007) Intercarpal ligament injuries associated with fractures of the distal part of the radius. J Bone Jt Surg Am 89(11):2334–2340
8.
Hohendorff B, Eck M, Muhldorfer M, Fodor S, Schmitt R, Prommersberger KJ (2009) Palmar wrist arthroscopy for evaluation of concomitant carpal lesions in operative treatment of distal intraarticular radius fractures. Handchir Mikrochir Plast Chir 41(5):295–299PubMed
9.
Fontes D (2016) Pathology of the triangular fibrocartilaginous complex in distal radius fractures. Hand Surg Rehabil 35S:S60–S68PubMed
10.
Lindau T (2017) Arthroscopic evaluation of associated soft tissue injuries in distal radius fractures. Hand Clin 33(4):651–658PubMed
11.
12.
Chung KC, Spilson SV (2001) The frequency and epidemiology of hand and forearm fractures in the United States. J Hand Surg Am 26(5):908–915PubMed
13.
Wilcke MK, Hammarberg H, Adolphson PY (2013) Epidemiology and changed surgical treatment methods for fractures of the distal radius: a registry analysis of 42,583 patients in Stockholm County, Sweden, 2004–2010. Acta Orthop 84(3):292–296PubMedPubMedCentral
14.
MacIntyre NJ, Dewan N (2016) Epidemiology of distal radius fractures and factors predicting risk and prognosis. J Hand Ther 29(2):136–145PubMed
15.
Flinkkila T, Sirnio K, Hippi M, Hartonen S, Ruuhela R, Ohtonen P et al (2011) Epidemiology and seasonal variation of distal radius fractures in Oulu, Finland. Osteoporos Int 22(8):2307–2312PubMed
16.
Knirk JL, Jupiter JB (1986) Intra-articular fractures of the distal end of the radius in young adults. J Bone Jt Surg Am 68(5):647–659
17.
Lameijer CM, Ten Duis HJ, Vroling D, Hartlief MT, El Moumni M, van der Sluis CK (2018) Prevalence of posttraumatic arthritis following distal radius fractures in non-osteoporotic patients and the association with radiological measurements, clinician and patient-reported outcomes. Arch Orthop Trauma Surg 138(12):1699–1712PubMedPubMedCentral
18.
Mayfield JK, Johnson RP, Kilcoyne RF (1976) The ligaments of the human wrist and their functional significance. Anat Rec 186(3):417–428PubMed
19.
Abe Y, Fujii K (2017) Arthroscopic-assisted reduction of intra-articular distal radius fracture. Hand Clin 33(4):659–668PubMed
20.
21.
22.
Del Pinal F (2011) Technical tips for (dry) arthroscopic reduction and internal fixation of distal radius fractures. J Hand Surg Am 36(10):1694–1705PubMed
23.
Leclercq C, Mathoulin C, Members of E (2016) Complications of wrist arthroscopy: a multicenter study based on 10,107 arthroscopies. J Wrist Surg 5(4):320–326PubMedPubMedCentral
24.
Fernandez DL, Geissler WB (1991) Treatment of displaced articular fractures of the radius. J Hand Surg Am 16(3):375–384PubMed
25.
Trumble TE, Schmitt SR, Vedder NB (1994) Factors affecting functional outcome of displaced intra-articular distal radius fractures. J Hand Surg Am 19(2):325–340PubMed
26.
Mehta JA, Bain GI, Heptinstall RJ (2000) Anatomical reduction of intra-articular fractures of the distal radius. An arthroscopically-assisted approach. J Bone Jt Surg Br 82(1):79–86
27.
Catalano LW 3rd, Barron OA, Glickel SZ (2004) Assessment of articular displacement of distal radius fractures. Clin Orthop Relat Res 423:79–84
28.
del Pinal F, Garcia-Bernal FJ, Pisani D, Regalado J, Ayala H, Studer A (2007) Dry arthroscopy of the wrist: surgical technique. J Hand Surg Am 32(1):119–123PubMed
29.
Lutz M, Erhart S, Deml C, Klestil T (2016) Arthroscopically assisted osteosynthesis of intraarticular distal radius fractures. Oper Orthop Traumatol 28(4):279–290PubMed
30.
Pillukat T, Fuhrmann R, Windolf J, van Schoonhoven J (2014) Arthroscopy of the distal radioulnar joint. Oper Orthop Traumatol 26(6):547–555PubMed
31.
32.
33.
34.
Catalano LW 3rd, Cole RJ, Gelberman RH, Evanoff BA, Gilula LA, Borrelli J Jr (1997) Displaced intra-articular fractures of the distal aspect of the radius. Long-term results in young adults after open reduction and internal fixation. J Bone Jt Surg Am 79(9):1290–1302
35.
Goldfarb CA, Rudzki JR, Catalano LW, Hughes M, Borrelli J Jr (2006) Fifteen-year outcome of displaced intra-articular fractures of the distal radius. J Hand Surg Am 31(4):633–639PubMed
36.
Herzberg G (2010) Intra-articular fracture of the distal radius: arthroscopic-assisted reduction. J Hand Surg Am 35(9):1517–1519PubMed
37.
Lindau T, Adlercreutz C, Aspenberg P (2003) Cartilage injuries in distal radial fractures. Acta Orthop Scand 74(3):327–331PubMed
38.
Herzberg G, Merlini L, Burnier M (2017) Hemi-arthroplasty for distal radius fracture in the independent elderly. Orthop Traumatol Surg Res 103(6):915–918PubMed
39.
Quadlbauer S, Leixnering M, Jurkowitsch J, Hausner T, Pezzei C (2017) Volar radioscapholunate arthrodesis and distal scaphoidectomy after malunited distal radius fractures. J Hand Surg Am 42(9):754 e1–754 e8
40.
Burnier M, Le Chatelier RM, Herzberg G (2018) Treatment of intra-articular fracture of distal radius fractures with fluoroscopic only or combined with arthroscopic control: a prospective tomodensitometric comparative study of 40 patients. Orthop Traumatol Surg Res 104(1):89–93PubMed
41.
42.
Gabl M, Arora R, Klauser AS, Schmidle G (2016) Characteristics of secondary arthrofibrosis after intra-articular distal radius fracture. Arch Orthop Trauma Surg 136(8):1181–1188PubMed
43.
44.
Geissler WB, Freeland AE, Savoie FH, McIntyre LW, Whipple TL (1996) Intracarpal soft-tissue lesions associated with an intra-articular fracture of the distal end of the radius. J Bone Jt Surg Am 78(3):357–365
45.
Lindau T, Arner M, Hagberg L (1997) Intraarticular lesions in distal fractures of the radius in young adults. A descriptive arthroscopic study in 50 patients. J Hand Surg Br 22(5):638–643PubMed
46.
Yamazaki H, Uchiyama S, Komatsu M, Hashimoto S, Kobayashi Y, Sakurai T et al (2015) Arthroscopic assistance does not improve the functional or radiographic outcome of unstable intra-articular distal radial fractures treated with a volar locking plate: a randomised controlled trial. Bone Jt J 97-B(7):957–962
47.
Richards RS, Bennett JD, Roth JH, Milne K Jr (1997) Arthroscopic diagnosis of intra-articular soft tissue injuries associated with distal radial fractures. J Hand Surg Am 22(5):772–776PubMed
48.
49.
Mrkonjic A, Lindau T, Geijer M, Tagil M (2015) Arthroscopically diagnosed scapholunate ligament injuries associated with distal radial fractures: a 13- to 15-year follow-up. J Hand Surg Am 40(6):1077–1082PubMed
50.
Ono H, Katayama T, Furuta K, Suzuki D, Fujitani R, Akahane M (2012) Distal radial fracture arthroscopic intraarticular gap and step-off measurement after open reduction and internal fixation with a volar locked plate. J Orthop Sci 17(4):443–449PubMed
51.
Khanchandani P, Badia A (2013) Functional outcome of arthroscopic assisted fixation of distal radius fractures. Indian J Orthop 47(3):288–294PubMedPubMedCentral
52.
Ogawa T, Tanaka T, Yanai T, Kumagai H, Ochiai N (2013) Analysis of soft tissue injuries associated with distal radius fractures. BMC Sports Sci Med Rehabil 5(1):19PubMedPubMedCentral
53.
Kasapinova K, Kamiloski V (2015) Influence of associated lesions of the intrinsic ligaments on distal radius fractures outcome. Arch Orthop Trauma Surg 135(6):831–838PubMed
54.
Christiaens N, Nedellec G, Guerre E, Guillou J, Demondion X, Fontaine C et al (2017) Contribution of arthroscopy to the treatment of intraarticular fracture of the distal radius: retrospective study of 40 cases. Hand Surg Rehabil 36(4):268–274PubMed
55.
Swart E, Tang P (2017) The effect of ligament injuries on outcomes of operatively treated distal radius fractures. Am J Orthop (Belle Mead NJ) 46(1):E41–E46
56.
Quadlbauer S, Pezzei C, Jurkowitsch J, Rosenauer R, Pichler A, Schattin S et al (2018) Early complications and radiological outcome after distal radius fractures stabilized by volar angular stable locking plate. Arch Orthop Trauma Surg 138(12):1773–1782PubMed
57.
Metadata
Title
Arthroscopic assisted treatment of distal radius fractures and concomitant injuries
Authors
Tobias Kastenberger
Peter Kaiser
Gernot Schmidle
Peter Schwendinger
Markus Gabl
Rohit Arora
Publication date
01-05-2020
Publisher
Springer Berlin Heidelberg
Published in
Archives of Orthopaedic and Trauma Surgery / Issue 5/2020
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI
https://doi.org/10.1007/s00402-020-03373-y

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