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

Kasapinova, Katerina; Kamiloski, Viktor

doi:10.1007/s00402-015-2203-0

Cited by 28 publications

(21 citation statements)

References 31 publications

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“…Recent literature describes an incidence of 38% of associated scapholunate (SL) or lunotriquetral (LT) ligamentous injuries in distal radius fractures. [ 43 ] Associated SL or TL ligamentous injuries could be an explanation for the limited radial deviation and flexion and early PA as described in this systematic review. Furthermore, malalignment of the distal radius following a fracture can cause alterations of the distal radio-ulnar joint with anatomical change of the radio-ulnar contact area, resulting in limited pronation and supination [ 44 ].…”

Section: Discussionmentioning

confidence: 89%

Prevalence of posttraumatic arthritis and the association with outcome measures following distal radius fractures in non-osteoporotic patients: a systematic review

Lameijer

Duis

Dijkstra

et al. 2017

Arch Orthop Trauma Surg

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a limited radial deviation and flexion, but not with grip strength. Articular incongruence predicted PA. Patient reported outcome measures should be investigated more thoroughly to be able to understand the value of using these instruments in interpreting outcome in follow-up of nonosteoporotic patients following a distal radius fracture. Level of evidence Level of evidence 3 (Phillips et al. Levels of Evidence-Oxford Centre for Evidence-based Medicine, 1)

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Section: Discussionmentioning

confidence: 89%

Prevalence of posttraumatic arthritis and the association with outcome measures following distal radius fractures in non-osteoporotic patients: a systematic review

Lameijer

Duis

Dijkstra

et al. 2017

Arch Orthop Trauma Surg

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“…Further support for worse outcomes in patients SLIL tears has been reported by Kasapinova et al . but in this study the follow-up was only 6 months and it compared inhomogeneous treatment groups [ 21 ]. This makes it difficult to generalize their outcomes.…”

Section: Discussionmentioning

confidence: 99%

Incidence and Functional Outcomes of Scapholunate Diastases Associated Distal Radius Fractures: A 2-year Follow-Up Scapholunate Dissociation

Lans

Lasa²,

Chen

et al. 2018

TOORTHJ

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Background:The Scapholunate Interosseous Ligament (SLIL) is the first intrinsic carpal ligament to be injured in wrist trauma, present in up to 64% of the distal radius fractures. However, it remains unclear what patients develop symptoms, making primary treatment of these injuries accompanying distal radius fractures remains questionable.Objective:The aim of this study was to evaluate the functional outcomes of patients with scapholunate diastasis associated with distal radius fractures.Methods:We evaluated 391 patients with a distal radius fracture. Using Computer Tomography (CT) scans the scapholunate interval was measured. We identified 14 patients with an SLD (>3mm) of the injured wrist, which underwent a CT-scan of the contralateral wrist. To evaluate the functional outcomes at a mean follow up of 136±90 weeks, we used the Quick Disabilities of the Arm, Shoulder and Hand (qDASH) Score.Results:There were 8 patients with bilateral SLD and 6 patients with unilateral SLD. Five patients had a qDASH score of 0 and one patient showed a qDASH score of 18.2. The patient with a poor score had bilateral preexisting osteoarthritis of the wrist. No patient had additional surgery of the SLIL.Conclusion:In patients with distal radius fractures, more than half of the 14 patients with an SL gap on CT had widening on the contralateral side. It is therefore worthwhile to image the contralateral wrist before diagnosing a SLD. The patients with unilateral SLD should not be surgically treated at initial presentation because they may have good functional outcomes after a follow up of 2 years.

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“…Although the biomechanics of fracture are well understood today and modern locking implants respect fracture biology, distal radius fractures are still associated with a high complication rate and frequently poor outcome [18,22,32,51,53,55,56,57]. One of the most common complications is malunion, which may lead to symptomatic ulnar impaction syndrome [8,12,27,55]. Post-traumatic positive ulnar variance affects the load distribution of the wrist and can lead to a TFCC tear and eventually to TFCC perforation with cartilage lesion of the proximal pole of the lunate and/ or the ulnar head.…”

Section: Discussionmentioning

confidence: 99%

Ulnar shortening osteotomy as a treatment of symptomatic ulnar impaction syndrome after malunited distal radius fractures

Terzis

Koehler

Sebald

et al. 2020

Arch Orthop Trauma Surg

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A malunited distal radius fracture can lead to symptomatic ulnar impaction syndrome, which is a common cause for ulnarsided wrist pain. If conservative treatment fails and symptoms persist after an arthroscopic ulnocarpal debridement, ulnar shortening osteotomy (USO) is the treatment of choice. Since the first USO described by Milch in 1941 after a malunited Colles fracture, many techniques have been described varying in surgical approach, type of osteotomy and osteosynthesis material used. Many studies demonstrated good to very good functional results after USO, reporting, however, a delayed union or non-union rate up to 18%. A modern, low profile, locking plate showed in our short-term study very good functional results and no implant-associated complications, in particular no non-union.

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

Cited by 28 publications

References 31 publications

Prevalence of posttraumatic arthritis and the association with outcome measures following distal radius fractures in non-osteoporotic patients: a systematic review

Prevalence of posttraumatic arthritis and the association with outcome measures following distal radius fractures in non-osteoporotic patients: a systematic review

Incidence and Functional Outcomes of Scapholunate Diastases Associated Distal Radius Fractures: A 2-year Follow-Up Scapholunate Dissociation

Ulnar shortening osteotomy as a treatment of symptomatic ulnar impaction syndrome after malunited distal radius fractures

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