A prospective study was undertaken to determine the clinical importance of the different carpal instabilities following dorsally displaced distal radial fractures (Colles'type).
All patients were followed for 1 year and a Cooney score and X-ray evaluation were done.
Nine different carpal instabilities were evaluated.
Only dissociative DISI and ulnar translocation showed significant clinical differences at 1 year follow-up.
It is therefore recommended that a dissociative DISI, usually caused by scapholunate dissociation, should be treated by percutaneous pinning at the time of the initial treatment.
Mots-clés Pascal : Fracture, Radius, Extrémité inférieure, Poignet, Complication, Incidence, Luxation, Récidivant, Carpe(os), Epidémiologie, Etude longitudinale, Symptomatologie, Pronostic, Homme, Os, Membre supérieur, Système ostéoarticulaire pathologie, Traumatisme, Main pathologie, Juxtaarticulaire pathologie
Mots-clés Pascal anglais : Fracture, Radius, Lower extremity, Wrist, Complication, Incidence, Luxation, Recurrent, Carpus(bone), Epidemiology, Follow up study, Symptomatology, Prognosis, Human, Bone, Upper limb, Diseases of the osteoarticular system, Trauma, Disease of the hand, Juxtaarticular disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0386251
Code Inist : 002B16H. Création : 25/01/1999.