Intracarpal soft-tissue lesions associated with an intra-articular fracture of the distal end of the radius

J Bone Joint Surg Am. 1996 Mar;78(3):357-65. doi: 10.2106/00004623-199603000-00006.

Abstract

Sixty patients who had a displaced intra-articular fracture of the distal end of the radius were managed with manipulative reduction and internal fixation performed under both fluoroscopic and arthroscopic guidance. According to the AO/ASIF classification system, seven fractures were type B1, two were type B2, three were type B3, thirteen were type C1, twelve were type C2, and twenty-three were type C3. Forty-one patients (68 per cent) had soft-tissue injuries of the wrist, including tears of the triangular fibrocartilage complex (twenty-six patients), the scapholunate interosseous ligament (nineteen), and the lunotriquetral interosseous ligament (nine). Thirteen patients had two soft-tissue injuries. Intracarpal soft-tissue injuries were identified most frequently in association with fractures involving the lunate facet of the distal articular surface or the radius.

Publication types

  • Multicenter Study

MeSH terms

  • Adolescent
  • Adult
  • Colles' Fracture / classification
  • Colles' Fracture / complications*
  • Colles' Fracture / therapy
  • Female
  • Fracture Fixation / methods
  • Humans
  • Ligaments, Articular / injuries
  • Male
  • Middle Aged
  • Soft Tissue Injuries / complications*
  • Ulna Fractures / complications
  • Ulna Fractures / therapy
  • Wrist Injuries / complications*