Midterm results of arthroscopic treatment of scapholunate ligament lesions associated with intra-articular distal radius fractures

1999 ◽  
Vol 7 (5) ◽  
pp. 327-333 ◽  
Author(s):  
G. Peicha ◽  
F.-J. Seibert ◽  
M. Fellinger ◽  
W. Grechenig
Keyword(s):  
Distal Radius ◽  
Distal Radius Fractures ◽  
Arthroscopic Treatment ◽  
Scapholunate Ligament ◽  
Radius Fractures ◽  
Midterm Results

Early Outcomes of Scapholunate Injuries With Concomitant Distal Radius Fractures

Hand ◽  
2019 ◽  
pp. 155894471989003
Author(s):  
Nicholas C. Duethman ◽  
William R. Aibinder ◽  
Nathaniel L. Robinson ◽  
Steven L. Moran ◽  
Sanjeev Kakar
Keyword(s):  
Surgical Treatment ◽  
Distal Radius ◽  
Distal Radius Fractures ◽  
Adult Patients ◽  
Wrist Arthroscopy ◽  
Scapholunate Ligament ◽  
Radius Fractures ◽  
Treatment Groups ◽  
Functional Differences

Background: There is limited literature regarding the treatment of concomitant scapholunate ligament (SL) injuries in acute distal radius fractures (DRFs). We hypothesized that surgical treatment of SL injuries in adult patients with DRFs leads to improved functional outcomes. Methods: A retrospective review was made of 42 adult patients who underwent surgical treatment of a DRF with a SL injury between 2005 and 2013. In all, 39 of the 42 patients sustained an intra-articular DRF (AO B or C). SL injury was diagnosed by SL diastasis > 3 mm on posteroanterior (PA) radiographs, magnetic resonance imaging, or with wrist arthroscopy. Patients were divided into 3 groups: 23 had a SL repair and were treated within 21 days of injury (acute), 8 underwent SL repair greater than 21 days from injury (subacute/chronic), and 11 did not undergo repair (non-operative). Median overall time to clinical follow-up was 5.1 years. Mayo Wrist Scores (MWS) and Disabilities of the Arm, Shoulder and Hand (DASH) scores were used to evaluate functional outcome. Results: Clinical outcomes measured by the MWS at final follow-up (6 months-12 years) showed no significant differences between the 3 groups. Of patients treated acutely, 17.3% had good to excellent MWS. MWS at 1-year follow-up was 68.4, 70, and 64 in the acute, subacute/chronic, and non-operative groups, respectively. DASH scores were 16.7, 14.3, and 11.8 in the acute, subacute/chronic, and nonoperative groups, respectively, at a mean of 7.8 years. Conclusions: At mid-term follow-up, all 3 treatment groups had similar DASH scores to the general population. There were no statistical functional differences between any of the groups based upon MWS or DASH scores.

scholarly journals Radiographic Diagnosis of Scapholunate Diastasis in Distal Radius Fractures: Implications for Surgical Practice

2018 ◽  
Vol 07 (04) ◽  
pp. 312-318
Author(s):  
Sezai Özkan ◽  
Julian Korteweg ◽  
Frank Bloemers ◽  
Nicholas DiGiovanni ◽  
Chaitanya Mudgal
Keyword(s):  
Distal Radius ◽  
The United States ◽  
Distal Radius Fractures ◽  
Ligament Injury ◽  
Scapholunate Ligament ◽  
Radius Fractures ◽  
Level Of Evidence ◽  
Radiographic Diagnosis ◽  
Urban City ◽  
Scapholunate Ligament Injury

Background Radiographic diagnosis of scapholunate ligament injury (SLI) in the setting of distal radius fractures (DRFs) is challenging. It remains unclear to what extent radiographic diagnosis of SLI by a radiologist influences surgical decision-making regarding treatment of SLI. Purpose We aimed to (1) identify the number of times that concerns for the possibility of concurrent SLI in the setting of a DRF had been raised by the radiologists, (2) identify how often the radiologist's diagnosis was confirmed by the treating surgeon, and (3) how many of the patients with a radiographic concern for SLI by the radiologist received operative treatment for the SLI. Patients and Methods Based on Current Procedural Terminology codes, we identified 2,923 patients that were operatively treated for their DRF in 1 of 3 participating institutions in an urban city in the United States. We reviewed the medical charts of 654 patients who had a mention of scapholunate ligament (SL) distance in their radiography, surgery, or clinical notes. We then measured the SL distance and recorded patient, diagnosis, and treatment characteristics of all these patients. Results A total of 200 out of 2,923 patients (6.8%) received a radiological diagnosis of SLI. In seven of these patients (3.5%), the surgeon confirmed the diagnosis of the radiologist. Four patients (2%) had operative repair of their SLI. Conclusion Radiologists demonstrate a low threshold to identify SLI in the setting of DRFs, while the number of SLIs identified by the treating surgeon is a remarkably smaller number. Level of Evidence Level II, prognostic study.

scholarly journals Arthroscopic treatment of chronic wrist pain after distal radius fractures

Medicine ◽  
2020 ◽  
Vol 99 (38) ◽  
pp. e22196
Author(s):  
Young-Keun Lee ◽  
Tae-Young Kwon ◽  
Ha-Song Lee
Keyword(s):  
Distal Radius ◽  
Wrist Pain ◽  
Distal Radius Fractures ◽  
Arthroscopic Treatment ◽  
Radius Fractures ◽  
Chronic Wrist Pain

Outcomes Associated With Scapholunate Ligament Injury Following Intra-Articular Distal Radius Fractures

2021 ◽  
Author(s):  
Kevin M. Klifto ◽  
Rachel E. Hein ◽  
Christopher S. Klifto ◽  
Tyler S. Pidgeon ◽  
Marc J. Richard ◽  
...  
Keyword(s):  
Distal Radius ◽  
Distal Radius Fractures ◽  
Ligament Injury ◽  
Scapholunate Ligament ◽  
Radius Fractures ◽  
Scapholunate Ligament Injury

The Effect of Volarly Angulated Distal Radius Fractures on Forearm Rotation: In Vitro Biomechanical Study

2015 ◽  
Vol 04 (S 01) ◽  
Author(s):  
Masao Nishiwaki ◽  
Mark Welsh ◽  
Louis Ferreira ◽  
James Johnson ◽  
Graham King ◽  
...  
Keyword(s):  
Distal Radius ◽  
Biomechanical Study ◽  
Distal Radius Fractures ◽  
Radius Fractures ◽  
Forearm Rotation
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