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| 关节镜诊治关节内桡骨远端粉碎性骨折的软组织损伤 | |
| 引用本文： | 梁加利,冯国强,Shew Ping Chow. 关节镜诊治关节内桡骨远端粉碎性骨折的软组织损伤[J]. 中华创伤骨科杂志, 2006, 8(3): 203-207 |
| 作者姓名： | 梁加利 冯国强 Shew Ping Chow |
| 作者单位： | Department of Orthopaedics and Traumatology, Queen Mary Hospital, TheUniversity of Hong Kong, Hong Kong |
| 摘 要： | Objective To diagnose and evaluate soft tissue injuries in intra-articular fractures of the distal radius using arthroseopy. Methods Twenty young patients with displaced intra-articular fractures of distal radius were recruited in this prospective study. Three AO C2 and 17 C3 fractures were included. After arthroseopie examination fractures of distal radius were treated by external fixation with limited internal fixation or open plate fixation. Results Triangular fibrocartilage complex （TFCC） injury was found in 18 patients （90%） . Most were isolated Palmer type 1D injuries （67 % ）. Seapho-lunate ligament injury was found in two patients： one partial tear （grade H） and one complete tear （grade HI ）. Follow-ups ranged from 6 to 18 months. At the last follow-up, wrist function was excellent in one patient （6%）, good in eight（44% ） and fair in 11 （50%）. Conclusion TFCC injuries are common in intra-artieular fractures of the distal radius while injuries to seapho-lunate ligament are uncommon. |
| 关 键 词： | 粉碎性骨折 软组织损伤 arthroseopy 诊断 |
| 收稿时间： | 2006-01-15 |
| 修稿时间： | 2006-01-15 |
Arthroscopic assessment of soft tissue injuries in comminuted intra-articular fractures of the distal radius |
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| Frankie Leung,Paata Gudushauri,Boris Fung,Shew Ping Chow. Arthroscopic assessment of soft tissue injuries in comminuted intra-articular fractures of the distal radius[J]. Chinese Journal of Orthopaedic Trauma, 2006, 8(3): 203-207 | |
| Authors: | Frankie Leung Paata Gudushauri Boris Fung Shew Ping Chow |
| Abstract: | Objective To diagnose and evaluate soft tissue injuries in intra-articular fractures of the distal radius using arthroscopy. Methods Twenty young patients with displaced intra-articular fractures of distal radius were recruited in this prospective study. Three AO C2 and 17 C3 fractures were included. After arthroscopic examination fractures of distal radius were treated by external fixation with limited internal fixation or open plate fixation.Results Triangular fibrocartilage complex (TFCC) injury was found in 18 patients (90%) . Most were isolated Palmer type 1D injuries (67 %). Scapho-lunate ligament injury was found in two patients: one partial tear (grade Ⅱ) and one complete tear (grade Ⅲ). Follow-ups ranged from 6 to 18 months. At the last follow-up, wrist function was excellent in one patient (6%), good in eight(44%) and fair in 11 (50%). Conclusion TFCC injuries are common in intra-articular fractures of the distal radius while injuries to scapho-luuate ligament are uncommon. |
| Keywords: | Wrist arthroseopy Distal radius fracture Triangular fibroeartilage complex Seapholunate ligament |
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