Outcomes of surgically treated distal radius fractures associated with triangular fibrocartilage complex injury |
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| Institution: | 1. Program in Occupational Therapy, University of Minnesota, Minneapolis, MN, USA;2. Benedictine Living Community of St. Peter, St. Peter, MN, USA;3. Essentia Health- Polinsky Medical Rehabilitation Center, Duluth, MN, USA;4. Madison Metropolitan School District, Madison, WI, USA;1. Department of Occupational Therapy, Sengkang General Hospital, Singapore;2. School of Rehabilitation Sciences, McMaster University, Hamilton, Ontario, Canada;3. School of Physical Therapy, Western University, London, Ontario, Canada;4. Hand & Upper Limb Centre, St. Joseph’s Health Centre, London, Ontario, Canada;1. Orthopedic Research Center, Mashhad University of Medical Sciences, Mashhad, Iran;2. Student Research Committee, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran;3. Clinical Research Unit, Mashhad University of Medical Sciences, Mashhad, Iran;1. Department of Hand Surgery, Plastic Surgery and Burns, Department of Clinical and Experimental Medicine, Linköping University, Linköping, Sweden;2. Division of Occupational Therapy, Department of Social and Welfare Studies, Linköping University, Norrköping, Sweden;3. Division of Physiotherapy, Department of Medical and Health Sciences, Linköping University, Linköping, Sweden;4. Division of Physiotherapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden;5. Division of Health Care Analysis, Department of Medical and Health Sciences, Linköping University, Linköping, Sweden;1. Public Health PhD Program, School of Public Health, University of Montreal, Montreal, Quebec, Canada;2. School of Rehabilitation, University of Montreal, Montreal, Quebec, Canada;3. Center for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR), Montreal, Quebec, Canada;4. Department of Social and Preventive Medicine, School of Public Health, University of Montreal, Montreal, Quebec, Canada;5. Public Health Research Institute, University of Montreal, Montreal, Quebec, Canada;6. Plastic Surgery Service, Department of Surgery, University of Montreal Hospital Center (CHUM), Montreal, Quebec, Canada |
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| Abstract: | Study DesignProspective cohort.IntroductionClinical studies that evaluate the correlation between associated lesions of the triangular fibrocartilage complex (TFCC) and outcome of distal radius fractures expressed with the patient-rated disability are missing. The purpose of this study was to evaluate the outcomes of distal radius fractures associated with or without an injury of the TFCC.MethodsPatients undergoing operative treatment for distal radius fracture were prospectively enrolled (n = 70). TFCC was examined by wrist arthroscopy and injuries classified according to Palmer. Comparative analyses were performed on 45 patients with TFCC injury (injured group) and 25 patients with intact TFCC (intact group). The outcome measures included the Patient-Rated Wrist Evaluation (PRWE) and the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaires, 3 and 12 months after injury.ResultsTFCC was injured in 45 patients (64%). In patients with intact TFCC, mean total PRWE score was 27 (3 months) and 16 (12 months), compared to patients with TFCC injury with 40 (at 3 months) and 24 (at 12 months). Mean DASH scores were 26 and 13 at 3 and 12 months for the intact group and 39 and 27 for the injured group. PRWE and DASH results showed significant difference at 3 and 12 months when compared with Mann–Whitney test.DiscussionPRWE and DASH scores evaluation showed that patients with associated TFCC injury had greater pain and disability at 3 and 12 months after injury.ConclusionsDisability outcomes were worse in patients with distal radius fracture, where TFCC was injured. TFCC injuries are an important cofactor affecting the outcome of distal radius fractures. |
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| Keywords: | Disability Distal radius fracture Triangular fibrocartilage complex Wrist arthroscopy |
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