Peripheral tears of the triangular fibrocartilage complex cause distal radioulnar joint instability after distal radial fractures

Lindau, Tommy; Adlercreutz, Catarina; Aspenberg, Per

doi:10.1053/jhsu.2000.6467

Cited by 242 publications

(176 citation statements)

References 27 publications

Supporting

Mentioning

159

Contrasting

Unclassified

Order By: Relevance

“…The study of Richards et al [11] found no correlation between ulnar styloid fractures and the TFCC injuries. Some other studies confirmed the same [9,10,28]. The present study showed that there was no correlation between the ulnar styloid fracture and the associated TFCC injury.…”

Section: Discussionsupporting

confidence: 85%

See 1 more Smart Citation

Analysis of the Arthroscopically Diagnosed Soft-Tissue Injuries Associated With the Distal Radius Fractures

2014

Maced J Med Sci

View full text Add to dashboard Cite

Competing Interests: The authors have declared that no competing interests exist. Abstract AIM:The aim of this study was to analyze the frequencies of these soft-tissue injuries and to describe the arthroscopic technique used for their diagnosis. METHODS:The prospective study included 85 patients with operatively treated distal radius fracture. Wrist arthroscopy was used to identify the associated lesions of triangular fibrocartilage complex (TFCC), scapholunate ligament (SL) and lunitriquetral ligament (LT), extrinsic ligaments, and chondral lesions. RESULTS:Wrist arthroscopy identified TFCC injury in 72.9%, SL injury in 65.9%, LT injury in 17.7%, extrinsic ligaments in 49.4% and chondral lesion in 30.6% of the patients. 87.1% of the patients had at least one of the major structures injured (TFCC, SL or LT). The presence of the ulnar styloid fractures significantlly correlated with with the associated LT lesion, with the LT lesion type, and with the lesion of both SL and LT ligament. If the distal radius fracture was intraarticular there was no correlation with the finding of any associated soft-tissue lesion. CONCLUSIONS:The frequency of the associated soft-tissue lesions in distal radius fractures is high. Ulnar styloid fracture was identified as risk factor for associated LT lesion, as well as combined lesion of both scapholunate and luntriquetral ligament.

show abstract

Section: Discussionsupporting

confidence: 85%

“…Indeed, an increasing number of investigative studies in peerreviewed orthopedic journals have confirmed that arthroscopy of the wrist is an accurate diagnostic tool [1,10,11].…”

Section: Introductionmentioning

confidence: 99%

Analysis of the Arthroscopically Diagnosed Soft-Tissue Injuries Associated With the Distal Radius Fractures

2014

Maced J Med Sci

View full text Add to dashboard Cite

show abstract

“…The triangular fibrocartilage complex has been regarded as the most important stabilizer of the DRUJ [2,17]. The triangular fibrocartilage complex, especially the deep part, plays a major role in dorsopalmar and rotational stability of the DRUJ [2,13,14,41,43], and to be related to DRUJ instability and subsequent pain after distal radius fractures [23,24]. Fujitani et al observed a deep triangular fibrocartilage complex tear from the fovea of the ulnar head in all patients with DRUJ instability [8].…”

Section: Discussionmentioning

confidence: 99%

Clinical and Radiographic Factors Associated With Distal Radioulnar Joint Instability in Distal Radius Fractures

Kwon

Seo

et al. 2012

Clinical Orthopaedics &Amp; Related Research

View full text Add to dashboard Cite

Background Distal radioulnar joint (DRUJ) instability is an important cause of ulnar-sided wrist pain in distal radius fractures. However, instability is frequently undiagnosed and the clinical and radiographic factors associated with instability are not well understood. Questions/purposes We therefore identified clinical and radiographic factors associated with DRUJ instability in distal radius fractures. Patients and Methods We retrospectively reviewed all 221 patients who underwent surgical treatment for unstable distal radius fractures from 2007 to 2010. Ten patients (five men and five women) had DRUJ instability by intraoperative manual testing (Group I); these patients had a median age of 52 years. The other 211 patients (81 men and 130 women) (Group II) had a median age of 55 years.Clinical and radiographic data were compared between the groups. ResultsThe incidence of open wounds at the wrist and the relative ulnar length measured on the prereduction radiograph were greater in Group I. An open wound at the wrist and positive ulnar variance of 6 mm or greater on the prereduction radiograph increased the risk of DRUJ instability (relative risks = 45 and 17, respectively) in distal radius fractures.

show abstract

“…Stability of the distal radioulnar joint was assessed clinically in neutral rotation by manually stressing the joint palmarly and dorsally [22]. We clinically assessed ulnar impaction syndrome that should have resulted from inadequate shortening of the radius or longitudinal instability of the forearm after splitting the interosseous membrane with a compression test of the ulnocarpal joint and finger palpation of the triangular fibrocartilage complex (TFCC) [21].…”

Section: Methodsmentioning

confidence: 99%

Correction of Forearm Malunion Guided by the Preoperative Complaint

Nagy

Jankauskas

Dumont

2008

Clinical Orthopaedics &Amp; Related Research

View full text Add to dashboard Cite

show abstract

Peripheral tears of the triangular fibrocartilage complex cause distal radioulnar joint instability after distal radial fractures

Cited by 242 publications

References 27 publications

Analysis of the Arthroscopically Diagnosed Soft-Tissue Injuries Associated With the Distal Radius Fractures

Analysis of the Arthroscopically Diagnosed Soft-Tissue Injuries Associated With the Distal Radius Fractures

Clinical and Radiographic Factors Associated With Distal Radioulnar Joint Instability in Distal Radius Fractures

Correction of Forearm Malunion Guided by the Preoperative Complaint

Contact Info

Product

Resources

About