Wrist arthroscopy and intra-articular fractures of the distal radius in young adults

Hardy, P.; Gomes, Nuno; Chebil, M.; Bauer, Thomas

doi:10.1007/s00167-006-0123-9

Cited by 18 publications

(27 citation statements)

References 29 publications

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“…It is well documented that prognosis and outcome of intra-articular fractures of the distal radius depend also on the presence of associated injuries such as capsular, ligamentous and cartilaginous lesions of the wrist [39][40][41][42][43][44][45][46]. The literature reports 6-78% [31] of the cases have associated partial or complete lesions of the TFCC, but most studies report 30-40% of the cases [47][48][49][50][51].…”

Section: Discussionmentioning

confidence: 98%

Complex fractures of the distal radius treated with angular stability plates

et al. 2009

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Complex fractures of the distal radius are articular lesions and comminuted at the level of the epiphysis and metaphysis. Their treatment is difficult and in most cases surgical. Of all the different osteosynthesis methods available, internal fixation with plate and screws is the most commonly used. In particular, angular stability plates are superior in terms of rigidity and stability to conventional volar and dorsal plates. DVR plate has these mechanical characteristics, and its low profile has reduced frictions with surrounding soft tissues. For these reasons, this device implanted through a single volar approach, can stabilize the majority of volarly and dorsally displaced unstable distal radius fractures. In this study, 48 patients, affected by complex fractures of the distal radius treated with DVR volar plates, were assessed by the Mayo modified wrist score, the Italian version of the disability of the arm, shoulder and hand. The satisfactory results observed confirm the efficacy of this device.

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Section: Discussionmentioning

confidence: 98%

Complex fractures of the distal radius treated with angular stability plates

et al. 2009

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“…Some surgeons have used wrist arthroscopy to assess fractures and, in a few patients, to aid in fracture reduction prior to fixation. 129,130 As for other joints, the need for surgical synovectomy has diminished in past years, owing to the success of biologic al therapies for inflammatory joint diseases. 131 …”

Section: Wristmentioning

confidence: 99%

Advances in arthroscopy—indications and therapeutic applications

et al. 2014

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Advances in optical technology, instrumentation and implants now enable arthroscopic surgery to be performed on all large joints and most small joints of the limbs. Arthroscopic techniques are usually a development of surgical procedures previously performed through a large open incision, although the critical element of each procedure (for example removal of a torn meniscus) usually remains unchanged. The smaller size of incisions and reduction in tissue damage associated with arthroscopic surgery can reduce morbidity and complications. Therapeutic arthroscopy now encompasses excision, reconstruction and replacement of damaged or abnormal tissue. Improvements in the accuracy of MRI, CT and high-definition ultrasonography have limited the use of diagnostic arthroscopy to rare indications, but in the past 10 years the rates of some arthroscopic surgeries have increased by over 7-fold. Considerable variation in the type and utilization of arthroscopic procedures exists in practice, partly explained by the slow diffusion of new techniques and technology, but also by differences in clinician and patient beliefs and expectations. This Review reflects on both the success of arthroscopy and the general lack of evidence-based assessment of the efficacy and cost-effectiveness of arthroscopic procedures-a clear sign that more clinical trials in this field are required.

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“…Las datos reportados de lesiones ligamentarias asociadas se extienden entre 18 y 86% para lesiones del ligamento escafolunar, 26,27 de 5% a 29% para el ligamento lunopiramidal 27,28 y de 17 a 60% para el CFCT. 11,29 Es incierta la incidencia de lesiones de los ligamentos del carpo evaluados sólo por fluoroscopía 2 y las lesiones del CFCT pueden pasar desapercibidas ante la ausencia de inestabilidad radio cubital distal. La artroscopía es el método de diag-…”

Section: Artroscopía Fluoroscopíaunclassified

Fracturas intraarticulares de radio distal: reducción bajo fluoroscopía versus asistencia artroscópica. Revisión sistemática

Allende-Nores¹,

Paganini²,

Gutiérrez-Olivera³

et al. 2020

Acta Ortopédica Mexicana

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Las fracturas intraarticulares de radio distal son un desafío terapéutico para el cirujano ortopedista. Hay estudios que avalan el uso de la fluoroscopía y otros promueven la artroscopia. Con este trabajo intentamos resumir la evidencia, para determinar si la asistencia artroscópica aporta beneficios adicionales para evitar incongruencias articulares en comparación con los resultados obtenidos bajo asistencia fluoroscópica. Material y métodos: Búsqueda sistemática de estudios prospectivos, retrospectivos, de cohortes, seguimiento, ensayos clínicos en PubMed, MEDLINE, Scopus, Scielo, Embase, Google Scholar y otras fuentes nacionales, incluyendo como palabras clave los términos: intraarticular distal radius fracture, wrist arthroscopy, arthroscopy, fluoroscopy. Los valores medios y desvíos estándar para cada característica, obtenidos de los trabajos seleccionados fueron analizados usando estadística descriptiva y gráficos ilustrativos. Resultados: Fueron evaluados 463 pacientes (256 mujeres y 207 hombres), con una edad promedio de 48.29 años y rango de 39 a 64 años. Los dos tratamientos (A y F) fueron homogéneos en cuanto a la edad de los pacientes que reportan (p = 0.5820) y el tiempo de seguimiento promedio (p = 0.9597). Sólo la desviación cubital y el DASH, para las cuales el grupo de artroscopía tuvo mejor desempeño, en las variables restantes las diferencias no fueron significativas. Conclusión: La evidencia disponible hasta la fecha es controvertida y no permite hacer recomendaciones a favor o en contra de estas intervenciones, encontrando otros factores que podrían influir en la toma de decisiones.

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Wrist arthroscopy and intra-articular fractures of the distal radius in young adults

Abstract: case series (level IV).

Cited by 18 publications

References 29 publications

Complex fractures of the distal radius treated with angular stability plates

Complex fractures of the distal radius treated with angular stability plates

Advances in arthroscopy—indications and therapeutic applications

Fracturas intraarticulares de radio distal: reducción bajo fluoroscopía versus asistencia artroscópica. Revisión sistemática

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