1-Year outcome of concomitant intracarpal lesions in patients with dislocated distal radial fractures: a systematic assessment of 78 distal radial fractures
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-...
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| Main Authors: | , , |
|---|---|
| Format: | Article (Journal) |
| Language: | English |
| Published: |
2016
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| In: |
Archives of orthopaedic and trauma surgery
Year: 2015, Volume: 136, Issue: 3, Pages: 425-432 |
| ISSN: | 1434-3916 |
| DOI: | 10.1007/s00402-015-2357-9 |
| Online Access: | Verlag, Volltext: http://dx.doi.org/10.1007/s00402-015-2357-9 Verlag, Volltext: https://doi.org/10.1007/s00402-015-2357-9 
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| Author Notes: | Renata Gologan, V.M. Ginter, A. Haeffner, U. Obertacke, U. Schreiner |
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| 245 | 1 | 0 | |a 1-Year outcome of concomitant intracarpal lesions in patients with dislocated distal radial fractures |b a systematic assessment of 78 distal radial fractures |c Renata Gologan, V.M. Ginter, A. Haeffner, U. Obertacke, U. Schreiner |
| 246 | 3 | 3 | |a One-year outcome of concomitant intracarpal lesions in patients with dislocated distal radial fractures |
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| 520 | |a 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. | ||
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| 650 | 4 | |a Concomitant ligament lesions | |
| 650 | 4 | |a Distal radius fracture | |
| 650 | 4 | |a Intracarpal lesions | |
| 650 | 4 | |a Outcome distal radius fracture | |
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