Le cal vicieux du radius distal et son traitement

Sennwald, G; Fischer, W; Stähelin, A. Gessler

doi:10.1007/bf00182984

Cited by 17 publications

(4 citation statements)

References 6 publications

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“…This hypothesis has not been con rmed, but it agrees with the ndings of Herbert et al (11) who showed that numerous asymptomatic wrists have intracarpal lesions making the assessment of carpal disease dif cult. The present ndings con rm that carpal lesions are rare (18) and dif cult to assess. Age and loss of strength might also explain why maximal displacement or dislocation were observed mainly in patients over 50 years of age.…”

Section: Discussionsupporting

confidence: 68%

Unstable Distal Radial Fractures Treated By External Fixation: An Analytical Review

Sennwald

Santa

2002

Scandinavian Journal of Plastic and Reconstructive Surgery and

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A "Hoffman type 2" external fixator was applied in 33 patients being treated for distal radial fractures that were classified according to the three basic types of the AO/ASIF system. Thirty fractures were suitable for statistical evaluation. Fixators were used alone (n = 10) or in combination with internal fixation of the intra-articular component. Fixators were removed sooner when they were combined with internal devices and these patients had significantly less pain. There was no relation between pain, classification, primary displacement, function, position on the radiograph, and Green and O'Brien score. Primary displacement was more important in patients over 50 years of age. Reflex sympathetic dystrophy was associated with fractures of the ulnar head. Ulnar styloid fractures were not related to increased laxity or symptoms at the distal radioulnar joint. There were no signs of intracarpal "instability" in patients less than 50 years of age and the condition caused no specific symptoms. Maintenance of stability was better when grafts were used, but not significantly so. Green and O'Brien scoring was no more informative than a simple ordinal pain ranking system.

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Section: Discussionsupporting

confidence: 68%

Unstable Distal Radial Fractures Treated By External Fixation: An Analytical Review

Sennwald

Santa

2002

Scandinavian Journal of Plastic and Reconstructive Surgery and

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“…The functional outcome of plaster cast immobilization is determined by the stability of the fracture. The treatment of complex fractures in plaster casts gives a rate of malunion that is more than 70% (Merchan et al, 1992;Sennwald et al, 1992). For non-displaced (and therefore stable) distal radial fractures, little or no immobilization is necessary (Dias et al, 1987;McAuliffe et al, 1987).…”

mentioning

confidence: 99%

Closed Reduction versus Kapandji-Pinning for Extra-Articular Distal Radial Fractures

Stoffelen¹,

Broos²

1999

Journal of Hand Surgery

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In a randomized prospective trial, treatment of extra-articular distal radial fractures by closed reduction and plaster application was compared with Kapandji-pinning. Closed reduction and plaster cast was used in 50 patients, Kapandji-pinning in 48 patients. According to the Cooney score, good and excellent results were found in the closed reduction and plaster cast group in 74%, compared with 75% in the Kapandji-pinning group. After measuring the maintenance of reduction as well as the functional outcome at 1 year follow-up, no statistically significant differences could be found between the two groups. We conclude that both techniques can be used in treating extra-articular fractures of the distal radius.

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“…In this group, six (11%) had scapholunate widening and three (5%) a lunotriquetral step-off. In a previously published review of 109 operated malunions (Sennwald et al, 1992), we saw only 7 patients (7%) with obvious clinical and radiological intracarpal symptoms. Both samples represented different subgroups of patients but these corroborate and show that clinical symptoms related to intracarpal pathology are not as frequent as suggested.…”

Section: Classificationmentioning

confidence: 87%

Diagnostic Arthroscopy: Indications and Interpretation of Findings

Sennwald¹

2001

Journal of Hand Surgery

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Many authors recommend arthroscopy for diagnostic or therapeutic purposes. Arthroscopy is a sophisticated investigation, which can cause damage requiring wrist fusion. It allows visualization of findings, but these are subtle and difficult, if not impossible to interpret, since the contralateral wrist cannot be used as a standard for comparison. Furthermore, not all intracarpal ligaments are directly and reliably visible through the arthroscope: for example the scaphoid-trapezial ligament which is essential for the stabilization of the distal part of the scaphoid. Therefore, it is questionable whether we can define arthroscopy as a gold standard of diagnosis just because it permits direct vision, as if what cannot be seen does not exist! Traction, mandatory for examination, induces particular stresses that may distort intracarpal motion and so-called dynamic evaluation. Each author tends to present a specific classification, rendering comprehension even more difficult. Accordingly, teaching and learning become a real challenge. Arthroscopy may be important in particular cases, but it remains only one component of a complex clinical assessment.

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Le cal vicieux du radius distal et son traitement

Cited by 17 publications

References 6 publications

Unstable Distal Radial Fractures Treated By External Fixation: An Analytical Review

Unstable Distal Radial Fractures Treated By External Fixation: An Analytical Review

Closed Reduction versus Kapandji-Pinning for Extra-Articular Distal Radial Fractures

Diagnostic Arthroscopy: Indications and Interpretation of Findings

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