scholarly journals Clinical and functional outcome of open primary repair of triangular fibrocartilage complex tears associated with distal radius fractures

2017 ◽  
Vol 25 (1) ◽  
pp. 230949901769098 ◽  
Author(s):  
Faisal Johandi ◽  
Sreedharan Sechachalam
Keyword(s):  
Functional Outcome ◽  
Grip Strength ◽  
Distal Radius Fracture ◽  
Distal Radius ◽  
Primary Repair ◽  
Radius Fracture ◽  
Ulnar Styloid ◽  
Fracture Fragment ◽  
Ulnar Styloid Fracture ◽  
Ulnar Fracture

Purpose: We evaluate the clinical and functional outcome of open primary repair of acute TFCC tears in distal radius fracture, when there is gross intraoperative distal radioulnar joint (DRUJ) instability after fixation of the distal radius, in the absence of an ulnar styloid fracture or when the ulnar fracture fragment is too small to be fixed. Methods: A retrospective review of our institution’s distal radius fracture database over a 4-year period (January 2010 to December 2013). A total of 12 (1.38%) out of 3379 patients had an open TFCC repair in the same setting as fixation of distal radius. Assessment of outcome involved the analysis of objective and subjective clinical and functional outcomes. Results: All patient regained Activities of Daily Living (ADL) independence; eleven out of 12 patients (91.7%) returned to pre-injury function and 8 out of 11 patients (72.7%) returned to their jobs. DRUJ stability was preserved in 10 patients (83.3%) with 10 patients (83.3%) having grip strength of at least 50%, compared to the uninjured hand, and 7 (58.3%) with grip strength of more than or equal to 75%. Complications of surgery identified can be classified into 4 broad categories: infection, neurological complications, persistent DRUJ instability and prolonged pain. Conclusion: The authors believe a primary open repair of the TFCC should be considered when patients present with instability during intra-operative DRUJ ballottement test after distal radius fixation, in the absence of an ulnar styloid fracture or when the ulnar fracture fragment is too small to be fixed.

Management of Distal Ulnar Fracture Combined with Distal Radius Fracture

2016 ◽  
Vol 21 (02) ◽  
pp. 155-160 ◽  
Author(s):  
Jae Kwang Kim ◽  
Jong-Oh Kim ◽  
Yong-Do Koh
Keyword(s):  
Distal Radius Fracture ◽  
Distal Radius ◽  
Distal Radius Fractures ◽  
Radius Fracture ◽  
Surgical Approaches ◽  
Radius Fractures ◽  
Ulnar Styloid ◽  
Cast Immobilization ◽  
Distal Ulna ◽  
Ulnar Styloid Fracture

The distal ulna is composed of the ulnar styloid, ulnar head, and distal ulnar metaphyseal area. Most of distal ulnar metaphyseal fractures are associated with distal radius fractures and this incidence tends to be greater in osteoporotic elderly. Consideration of the treatment of distal ulna metaphyseal fracture should be addressed after treating a distal radius fracture. If it is stable, cast immobilization is preferred, however, if it shows malalignment or instability, an operative method should be considered. More than half of distal radius fractures are combined with an ulnar styloid fracture, and considerable cases of ulnar styloid fractures result in nonunion. However, ulnar styloid nonunion usually does not cause any problems on the wrist. Recent studies of distal radius fractures treated using a volar locking plate have reported that neither the initial displacement nor the size of a concomitant ulnar styloid fracture affects clinical outcome, which suggests surgical approaches may usually not be indicated for ulnar styloid fractures.

Comparing Outcomes between Arthroscopic-Assisted Reduction and Fluoroscopic Reduction in AO Type C Distal Radius Fracture Treatment

2020 ◽  
Author(s):  
Siu Cheong Jeffrey Justin Koo ◽  
Kam Yiu Adrian Leung ◽  
Wai Wang Chau ◽  
Pak Cheong Ho
Keyword(s):  
Range Of Motion ◽  
Functional Outcome ◽  
Grip Strength ◽  
Distal Radius Fracture ◽  
Distal Radius ◽  
Fracture Reduction ◽  
Radius Fracture ◽  
Dash Score ◽  
Type C ◽  
Assisted Fracture

Abstract Background Distal radius fracture is one of the most common injuries. Poor functional result with restricted wrist motion can be developed when there is intra-articular fibrous tissue development arising from articular step-off and gapping. Objectives The aim of this study is to compare the functional and radiological outcome between arthroscopic-assisted reduction and fluoroscopic reduction in treating unstable intra-articular distal radius fracture. Methods We retrospectively analyzed 12 patients with intraarticular AO type C distal radius fracture treated with arthroscopic-assisted fracture reduction and internal fixation and compared them with another group of 12 patients in which fracture reduction is assessed by fluoroscopy alone (15 males and 9 females, mean age 57.3, range 27–73). The two cohorts were analyzed for differences in radiological parameters including articular stepping and gapping, palmar tilt, radial inclination, ulnar variance as well as functional outcome in range of motion, grip strength, modified mayo wrist score, and Quick Disabilities of the Arm, Shoulder, and Hand (DASH) score at an average of 12.5 months (range 5–26) after surgery. Results Arthroscopic-assisted fracture reduction group has statistically better restoration of articular stepping and gapping, volar tilt and ulnar variance. Range of motion, grip strength, modified mayo wrist score and Quick DASH score also had statistically significant improvement in arthroscopic group. Conclusion Our study showed arthroscopic-assisted technique can precisely restore radiological parameters in highly comminuted distal radius fracture with good functional outcome. Also, associated intra-articular soft tissue injury can be detected and treated simultaneously. Level of Evidence This is a level III, retrospective cohort study.

scholarly journals DRUJ instability after distal radius fracture: A comparison between cases with and without ulnar styloid fracture

2011 ◽  
Vol 9 (8) ◽  
pp. 648-651 ◽  
Author(s):  
Gholam Hossein Kazemian ◽  
Hooman Bakhshi ◽  
Matt Lilley ◽  
Mohammad Emami Tehrani Moghaddam ◽  
Mohammad M. Omidian ◽  
...  
Keyword(s):  
Distal Radius Fracture ◽  
Distal Radius ◽  
Radius Fracture ◽  
Ulnar Styloid ◽  
Druj Instability ◽  
Ulnar Styloid Fracture

scholarly journals Clinical analysis of prognosis of distal radius fracture treated with internal fixation and ulnar styloid fracture

2021 ◽  
Author(s):  
The Annals of Research
Keyword(s):  
Internal Fixation ◽  
Distal Radius Fracture ◽  
Distal Radius ◽  
Reference Group ◽  
Statistical Significance ◽  
Radius Fracture ◽  
Ulnar Styloid ◽  
Imaging Parameters ◽  
Ulnar Styloid Fracture

Objective:To analyze the correlation between the prognosis of distal radius fracture and ulnar styloid fracture with internal fixation.Methods:A total of 22 patients with distal radius fractures admitted to our hospital from January 2017 to December 2019 were selected and divided into a reference group (11 cases, combined) and an observation group (11 cases, not combined) according to whether the patients were complicated with ulnar styloid fractures.Case Description:All patients were treated with internal fixation. Imaging parameters of the wrist (including ulnar Angle, palmaric inclination, radial styloid height, etc.) and range of motion of the wrist were observed before and after the last follow-up of the two groups.Results:Patients in both groups were followed up for 6 to 12 months, and there was no statistical significance in imaging parameters, range of wrist motion and other indexes of postoperative and last follow-up between the two groups (P>0.05).Conclusion:Ulnar styloid fracture has no significant effect on functional recovery in patients with distal radius fracture treated by fixation.

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