The clinical importance of carpal instabilities following distal radial fractures.
A prospective study was undertaken to determine the clinical importance of the different carpal instabilities following dorsally displaced distal radial fractures (Colles' type). All patients were followed for 1 year and a Cooney score and X-ray evaluation were done. Nine different carpal instabilities were evaluated. Only dissociative DISI and ulnar translocation showed significant clinical differences at 1 year follow-up. It is therefore recommended that a dissociative DISI, usually caused by scapholunate dissociation, should be treated by percutaneous pinning at the time of the initial treatment.
Stoffelen
D
D
Department of Traumatology and Reconstructive Surgery, University Hospital Gasthuisberg, Leuven, Belgium.
De Mulder
K
K
Broos
P
P
D003100:Colles' Fracture / Q000150:complications / Q000503:physiopathology* / Q000601:surgery*; D006801:Humans; D007593:Joint Instability / Q000150:complications / Q000503:physiopathology*; D011446:Prospective Studies; D014955:Wrist Joint / Q000503:physiopathology*