We examined the frequency of associated chondral and ligament lesions in distal fractures of the radius in young adults (men 20-60 years, women 20-50 years).
Fifty initially displaced fractures were examined arthroscopically.
Chondral lesions were found in 16 patients (32%).
All patients but one were found to have a ligamentous injury in the wrist.
No major instability was found.
The most frequent ligament tear was the triangular fibrocartilage complex in 39 cases (78%), with a statistical correlation to ulnar styloid fractures.
The scapholunate ligament was partially or totally torn in 27 cases (54%). No correlation was found between specific fracture type and pattern of ligament injury.
Chondral and ligamentous lesions were frequent and may explain poor outcomes after seemingly well-healed distal fractures of the radius.
The ligament lesions should also be kept in mind when early mobilization of the distal fracture of the radius is considered.
Mots-clés Pascal : Fracture, Radius, Distal, Epidémiologie, Fréquence, Adulte jeune, Homme, Rupture tissu, Ligament, Exploration, Arthroscopie, Poignet, Os, Membre supérieur, Système ostéoarticulaire pathologie, Traumatisme, Main pathologie, Endoscopie
Mots-clés Pascal anglais : Fracture, Radius, Distal, Epidemiology, Frequency, Young adult, Human, Tissue rupture, Ligament, Exploration, Arthroscopy, Wrist, Bone, Upper limb, Diseases of the osteoarticular system, Trauma, Disease of the hand, Endoscopy
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0528184
Code Inist : 002B16H. Création : 13/02/1998.