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14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT)

17.06. - 21.06.2019, Berlin

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Arthroscopic evaluation of ligament injuries associated to intraarticular distal radius fractures

Meeting Abstract

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  • presenting/speaker Aldo Villavicencio - Clinica Indisa, Santiago, Chile
  • Rene Jorquera - Clinica Indisa, Santiago, Chile
  • Pablo Orellana - Clinica Indisa, Santiago, Chile
  • Francisco Melibosky - Clinica Indisa, Santiago, Chile
  • Peter Cobb - Clinica Indisa, Santiago, Chile
  • Andres Almonacid - Clinica Indisa, Santiago, Chile

International Federation of Societies for Surgery of the Hand. International Federation of Societies for Hand Therapy. 14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT). Berlin, 17.-21.06.2019. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocIFSSH19-1125

doi: 10.3205/19ifssh1034, urn:nbn:de:0183-19ifssh10349

Published: February 6, 2020

© 2020 Villavicencio et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

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Objectives/Interrogation: Our objective is to describe associated ligament injuries in intraarticular distal radius fractures using arthroscopic assistance. Additionally, to characterize these findings according to stability and need for treatment (either arthroscopic or open).

Methods: Retrospective study including 85 distal radius fractures treated surgically with open reduction and internal fixation and arthroscopic assistance between January 2017 and July 2018.

Inclusion criteria were intraarticular fractures with indication of surgical treatment, in high demand patients.

Low demand patients, as well as extraarticular and non operated fractures were excluded.

All wrist fractures in this study were treated with open reduction and internal fixation using locking volar plate, and wrist arthroscopy to asses articular surface and associated ligament injuries.

Findings related to Triangular Fibrocartilage Complex, Scapholunate Ligament and Lunotriquetral Ligament were recorded and classified according to Palmer and EWAS Classification, respectively.

Finally, arthroscopic findings were classified as "stable" and "unstable" according to they need to undergo additional procedures for stabilization.

No functional results were evaluated.

Results and Conclusions: From a total of 85 fractures, 49 (57,6%) presented at least one ligament injury during arthroscopic evaluation. 31 (36,5%) fractures were associated to Triangular Fibrocartilage Complex lessions. When evaluating intrinsic ligament injuries, 27 (31,8%) cases had Scapholunate Ligament and 12 (14,1%) Lunotriquetral Ligament injuries.

Of the total number of ligament injuries, 12 (14,1%) Triangular Fibrocartilage Complex, 15 (17,6%) Scapholunate Ligament and 9 (10,6%) Lunotriquetral Ligament tears needed some additional surgical procedure for stabilization.

In conclusion, the total number of ligament injuries found in association to intraarticular distal radius fractures is similar to other publications. Moreover, proper characterization of these lessions allow us to have a more accurate idea of which will need further treatment.