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Archives of Orthopaedic and Trauma Surgery

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01-06-2015 | Arthroscopy and Sports Medicine

Influence of associated lesions of the intrinsic ligaments on distal radius fractures outcome

Authors: Katerina Kasapinova, Viktor Kamiloski

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 6/2015

Abstract

Introduction

We aimed to evaluate the influence of associated scapholunate (SL) and/or lunotriquetral ligament (LT) injury on the outcome of distal radius fractures.

Materials and methods

This prospective study included 40 patients with surgically treated distal radius fracture. Wrist arthroscopy was used to identify associated lesions of the scapholunate and lunotriquetral ligaments and classify them according to Geissler. Patients were divided in two groups by presence (injured group) or absence (intact group) of associated injury of the SL and/or LT ligament. The patient-rated wrist evaluation (PRWE) and the disabilities of the arm, shoulder and hand (DASH) questionnaires were used to evaluate disability 3 and 6 months after injury. Grip strength was also evaluated.

Results

Wrist arthroscopy identified SL and/or LT injury in 15 patients (37.5 %). Mean total PRWE score for the intact group was 26.64 at 3 months and 16.22 at 6 months, and 50.47 (at 3 months) and 20.7 (at 6 months) for the group with ligament injury. Mean DASH scores were 26.03 and 13 at 3 and 6 months for the intact group, and 49.5 and 24.11 for the injured group. Mann–Whitney test results showed significant difference for the PRWE and DASH scores and the grip strength for the two examined groups.

Conclusions

Patients with distal radius fracture with associated intrinsic ligament injury had worse outcomes than did patients without associated ligamentous injury. Associated injuries of the SL and LT ligament should be considered when treating distal radius fractures, and wrist arthroscopy should be incorporated into the operative protocol.

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Title: Influence of associated lesions of the intrinsic ligaments on distal radius fractures outcome
Authors: Katerina Kasapinova
Viktor Kamiloski
Publication date: 01-06-2015
Publisher: Springer Berlin Heidelberg
Published in: Archives of Orthopaedic and Trauma Surgery / Issue 6/2015
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-015-2203-0

At a glance: The STEP trials

Springer Medicine

Influence of associated lesions of the intrinsic ligaments on distal radius fractures outcome

Abstract

Introduction

Materials and methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Introduction

Materials and methods

Results

Conclusions

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