The Journal of Bone and Joint Surgery (American) 78:357-65 (1996)
© 1996 The Journal of Bone and Joint Surgery, Inc.
Intracarpal Soft-Tissue Lesions Associated with an Intra-Articular Fracture of the Distal End of the Radius*
WILLIAM B. GEISSLER, M.D. ,
ALAN E. FREELAND, M.D.,
FELIX H. SAVOIE, M.D. , JACKSON, MISSISSIPPI,
LEWIS W. McINTYRE, M.D. and
TERRY L. WHIPPLE, M.D., RICHMOND, VIRGINIA
Investigation performed at the Department of Orthopaedic Surgery, University of Mississippi Medical Center, and River Oaks Hospital, Jackson, and Orthopaedic Research of Virginia, Richmond
Sixty patients who had a displaced intra-articular fracture of the distal end of the radius were managed with manipulative reduction and internal fixation performed under both fluoroscopic and arthroscopic guidance. According to the AO/ASIF classification system, seven fractures were type B1, two were type B2, three were type B3, thirteen were type C1, twelve were type C2, and twenty-three were type C3. Forty-one patients (68 per cent) had soft-tissue injuries of the wrist, including tears of the triangular fibrocartilage complex (twenty-six patients), the scapholunate interosseous ligament (nineteen), and the lunotriquetral interosseous ligament (nine). Thirteen patients had two soft-tissue injuries. Intracarpal soft-tissue injuries were identified most frequently in association with fractures involving the lunate facet of the distal articular surface or the radius.
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