Soft-Tissue Complications Associated With Distal Radius Fractures

Arthroscopic assessment of intraarticular distal radius fractures – results of minimally invasive fixation

“…Due to the small number of patients, statistically non-significant results describe "tendencies" rather than facts. However, the number of patients in this study is similar to populations described in other studies, in which the number of patients was 7 to 60, with an average of about 30 (9,(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27). Doi compared 34 patients who underwent arthroscopic procedures to 48 who underwent open surgery, but found only 3 C1 type fractures and no B1 type fracture in the first group vs. 11 C1 type fractures and only 1 B1 type fracture in the second group, which makes an important difference to this study [26].…”

“…Le cze nie obej mu je od two rze nie sto sun ków ana to micz nych dal sze go koń ca ko ści pro mie nio wej, re po zy cji powierzch ni sta wo wej oraz za opa trze nia uszko dzeń tka nek mięk kich. Stąd też po ja wił się po mysł wy korzy sta nia ar tro sko pu w zła ma niach śród sta wo wych nad garst ka [9,[11][12][13][14][15][16][17][18][19][20][21][22][23][24][25]. W do tych czas opu bli ko wa nych pra cach brak jest ja sno okre ślo nych kry te riów do zasto so wa nia ar tro sko pii w zła ma niach koń ca dal sze go ko ści pro mie nio wej.…”

“…By ło to naj częst sze uszko dze nie tka nek mięk kich u cho rych ze zła maniem ty pu C1. W li te ra tu rze czę stość wy stę po wa nia uszko dzeń chrząst ki trój kąt nej wy no si ła od 39% do 65% [13,15,16,18,19,20,21,24,26,27,42]. W ba da nym ma te ria le naj czę ściej wy stę po wa ło uszko dze nie komplek su chrząst ki trój kąt nej ty pu 1a -u 9 cho rych (33,3%), na stęp nie 1d -u 4 cho rych, 1b -u 2 i 1 c -u 1 cho re go.…”

“…It was the most common soft tissue lesion in C1 type fractures. In the literature, the incidence of TFCC lesions ranges from 39% to 65% [13,15,16,18,19,20,21,24,26,27,42). In our study, the most common was type 1A in 9 patients (33.3%), followed by 1D in 4 patients, 1B in 2 patients, and 1C in 1 patient.…”

“…These fractures are marked by high instability and asso ciated soft tissue lesions. Treatment involves restoration of distal radius anatomy and anatomic realignment of the articular surface; hence the idea of wrist arthroscopy to detect and treat soft tissue le sions and to restore anatomic articular surface align ment [9,[11][12][13][14][15][16][17][18][19][20][21][22][23][24][25]. No publication to date has provided clear and precise indications for wrist arthroscopy in distal radius fractures.…”