Arthroscopic Management of Intra-articular Ligament Lesions on Distal Radius Fractures
| Autor: | Gustavo Luis Gomez Rodriguez, Bruno Gianordoli Biondi, Marcio Aurelio Aita, Fernando Towata, Gustavo Mantovani Ruggiero, Ricardo Kaempf, Gary Alan Montano |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
musculoskeletal diseases
Economics and Econometrics medicine.medical_specialty RD1-811 Visual analogue scale Population distal radius fracture 030230 surgery 03 medical and health sciences 0302 clinical medicine Materials Chemistry Media Technology Wrist arthroscopy Medicine education Fixation (histology) 030222 orthopedics education.field_of_study medicine.diagnostic_test business.industry Arthroscopy Forestry musculoskeletal system Surgery Tendon ligament lesion medicine.anatomical_structure Ligament treatment-oriented classification business Range of motion |
| Zdroj: | Revista Iberoamericana de Cirugía de la Mano, Vol 49, Iss 01, Pp 024-036 (2021) |
| ISSN: | 1698-8396 |
| DOI: | 10.1055/s-0041-1730393 |
| Popis: | Articular distal radius fractures (DRFs) have increased in incidence in recent years, especially among the economically active population. Most of the treatment approaches are based on plain X- rays, and do not give us any information on how to treat these fractures. In the search for solutions with greater precision in diagnosis, in reducing the joint surface of the fracture, and envolving minimally-invasive techniques, we found arthroscopy as the main tool for these patients. Therefore, an enhanced understanding of the biomechanics of the different types of fracture associated with ligamentous lesions should facilitate the right decision regarding the treatment. The present paper aims at providing a management-oriented concept to diagnose and treat ligamentous lesions associated with intra-articular DRFs based on a arthroscopy-assisted procedure, and showing the objective and patient-reported outcomes and a new classification. The objective and patient-reported outcomes were: the mean range of motion (ROM) was of 94.80% on the non-affected side; the mean score on the abbreviated version of the Disabilities of the Arm, Shoulder and Hand questionnaire (QuickDASH) was of 3.6 (range: 1 to 12). The score on the Visual Analog Scale (VAS) was of 1.66 (range: 1 to 3). Complications were observed in 2 (13.33%) patients: extensor tendon synovitis in 1 patient, and a limitation (stiffness) in ROM in 1 patient, both treated with wrist arthroscopy release. The mean time until the return to work was of 6.4 weeks. In patients with unstable intra-articular DRFs associated with ligamentous lesions, the fixation of specific osseous-ligamentous fragments and ligamentous repair/reconstruction by wrist arthroscopy prove to be a safe and reliable treatment. The clinical and functional results predict that the patients can return to work more quickly. |
| Databáze: | OpenAIRE |
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