title: Intracarpal soft-tissue lesions associated with an intra-articular fracture of the distal end of the radius.
abstract: Sixty patients who had a displaced intra-articular fracture of the distal end of the radius were managed with manipulative reduction and internal fixation performed under both fluoroscopic and arthroscopic guidance. According to the AO/ASIF classification system, seven fractures were type B1, two were type B2, three were type B3, thirteen were type C1, twelve were type C2, and twenty-three were type C3. Forty-one patients (68 per cent) had soft-tissue injuries of the wrist, including tears of the triangular fibrocartilage complex (twenty-six patients), the scapholunate interosseous ligament (nineteen), and the lunotriquetral interosseous ligament (nine). Thirteen patients had two soft-tissue injuries. Intracarpal soft-tissue injuries were identified most frequently in association with fractures involving the lunate facet of the distal articular surface or the radius.
authors.affiliation: Department of Orthopaedic Surgery, University of Mississippi Medical Center, Jackson, Mississippi, USA.
authors.forename: W B
authors.initials: WB
authors.lastname: Geissler
authors.forename: A E
authors.initials: AE
authors.lastname: Freeland
authors.forename: F H
authors.initials: FH
authors.lastname: Savoie
authors.forename: L W
authors.initials: LW
authors.lastname: McIntyre
authors.forename: T L
authors.initials: TL
authors.lastname: Whipple
mesh_terms: D000293:Adolescent; D000328:Adult; D003100:Colles' Fracture / Q000145:classification / Q000150:complications* / Q000628:therapy; D005260:Female; D005592:Fracture Fixation / Q000379:methods; D006801:Humans; D008023:Ligaments, Articular / Q000293:injuries; D008297:Male; D008875:Middle Aged; D017695:Soft Tissue Injuries / Q000150:complications*; D014458:Ulna Fractures / Q000150:complications / Q000628:therapy; D014954:Wrist Injuries / Q000150:complications*