Arthroscopic study of injuries in articular fractures of distal radius extremity

OBJECTIVE: To analyze the incidence of wrist ligament and cartilage associated fractures of the distal radius, through arthroscopy, correlating with AO/ASIF classification. METHODS: Thirty patients aged between 20 and 50 years old, with closed fracture from groups B and C according to AO/ASIF c...

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Main Authors: Marcelo Araf, Rames Mattar Junior
Format: Article
Language:English
Published: Sociedade Brasileira de Ortopedia e Traumatologia 2014-01-01
Series:Acta Ortopédica Brasileira
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522014000300144&tlng=en
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author Marcelo Araf
Rames Mattar Junior
author_facet Marcelo Araf
Rames Mattar Junior
author_sort Marcelo Araf
collection DOAJ
description OBJECTIVE: To analyze the incidence of wrist ligament and cartilage associated fractures of the distal radius, through arthroscopy, correlating with AO/ASIF classification. METHODS: Thirty patients aged between 20 and 50 years old, with closed fracture from groups B and C according to AO/ASIF classification were selected. All of them were submitted to wrist arthroscopy to address intra-articular injuries and reduction and osteosynthesis of the fracture. RESULTS: A high incidence of intra-articular injuries was noticed, and 76.6% of them presented injury of the triangular fibrocartilage complex, 36.6% of the intrinsic scapholunate ligament, 6.6% of the intrinsic triquetrolunate ligament, and 33% articular cartilage injury larger than three millimeters. Patients with fractures from type C according to AO/ASIF classification presented a higher incidence of ligament injuries. CONCLUSION: There is no relationship between the presence of chondral injury and the AO/ASIF classification of the fractures in the cases reported in this study. Level of Evidence III, Non Randomized Controlled Trial.
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spelling doaj.art-93edec2b55c743579b6bff35246078082022-12-21T21:10:26ZengSociedade Brasileira de Ortopedia e TraumatologiaActa Ortopédica Brasileira1413-78522014-01-0122314415010.1590/1413-78522014220300813Arthroscopic study of injuries in articular fractures of distal radius extremityMarcelo ArafRames Mattar JuniorOBJECTIVE: To analyze the incidence of wrist ligament and cartilage associated fractures of the distal radius, through arthroscopy, correlating with AO/ASIF classification. METHODS: Thirty patients aged between 20 and 50 years old, with closed fracture from groups B and C according to AO/ASIF classification were selected. All of them were submitted to wrist arthroscopy to address intra-articular injuries and reduction and osteosynthesis of the fracture. RESULTS: A high incidence of intra-articular injuries was noticed, and 76.6% of them presented injury of the triangular fibrocartilage complex, 36.6% of the intrinsic scapholunate ligament, 6.6% of the intrinsic triquetrolunate ligament, and 33% articular cartilage injury larger than three millimeters. Patients with fractures from type C according to AO/ASIF classification presented a higher incidence of ligament injuries. CONCLUSION: There is no relationship between the presence of chondral injury and the AO/ASIF classification of the fractures in the cases reported in this study. Level of Evidence III, Non Randomized Controlled Trial.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522014000300144&tlng=enArthroscopy/classificationWrist injuriesLigamentsCartilage, Articular
spellingShingle Marcelo Araf
Rames Mattar Junior
Arthroscopic study of injuries in articular fractures of distal radius extremity
Acta Ortopédica Brasileira
Arthroscopy/classification
Wrist injuries
Ligaments
Cartilage, Articular
title Arthroscopic study of injuries in articular fractures of distal radius extremity
title_full Arthroscopic study of injuries in articular fractures of distal radius extremity
title_fullStr Arthroscopic study of injuries in articular fractures of distal radius extremity
title_full_unstemmed Arthroscopic study of injuries in articular fractures of distal radius extremity
title_short Arthroscopic study of injuries in articular fractures of distal radius extremity
title_sort arthroscopic study of injuries in articular fractures of distal radius extremity
topic Arthroscopy/classification
Wrist injuries
Ligaments
Cartilage, Articular
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522014000300144&tlng=en
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AT ramesmattarjunior arthroscopicstudyofinjuriesinarticularfracturesofdistalradiusextremity