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Archives of Orthopaedic and Trauma Surgery

, Volume 133, Issue 9, pp 1281–1287 | Cite as

The functional outcome of acute scapholunate ligament repair in patients with intraarticular distal radius fractures treated by internal fixation

  • Gertraud GradlEmail author
  • Thomas Pillukat
  • Thomas Fuchsberger
  • Matthias Knobe
  • David Ring
  • Karl-Josef Prommersberger
Trauma Surgery

Abstract

Background

Intra-articular fractures of the distal radius (DRF) are associated with a twofold increase in the risk of scapholunate ligament injury (SLI). The aim of this study was to compare functional outcome, pain, and disability between patients with operatively treated DRF and either an acute, repaired scapholunate ligament injury or no ligament injury.

Methods

We retrospectively analyzed 18 patients with an intraarticular DRF and SLI that was diagnosed and treated (Group I) and compared them with 20 patients with DRF without associated ligament injury (Group II) (20 women, 18 men; average age 55 years, range 19–72). The two cohorts were analyzed for differences in motion, grip strength, pain, Mayo wrist score, and Quick Disabilities of the Arm, Shoulder, and Hand (DASH) score an average of 43 months (range 12–73) after surgery. Radiographic assessment included fracture union, palmar tilt, radial inclination, ulnar variance, intercarpal angles, and arthrosis (according to Knirk and Jupiter). We used T-tests to compare range of motion, grip strength, pain (visual analog scale), DASH scores, and radiographic alignment between cohorts. A Chi-squared analysis was used to determine radiographic differences of arthritis.

Results

There were no significant differences in mean range of motion, grip strength, Quick DASH score, Mayo wrist score, pain level, or radiographic arthrosis between cohorts. There was no correlation between radiographic signs of osteoarthritis and the QuickDASH score, and pain level.

Conclusion

The outcomes of intraarticular fractures of the distal radius with operatively treated associated SLI are comparable with the outcomes of intraarticular fractures of the distal radius without associated SLI.

Keywords

Distal radius intraarticular fracture Operative treatment Scapholunate injury 

Notes

Conflict of interest

The authors declare that they have no conflict of interest.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  • Gertraud Gradl
    • 1
    • 3
    Email author
  • Thomas Pillukat
    • 2
  • Thomas Fuchsberger
    • 2
  • Matthias Knobe
    • 1
  • David Ring
    • 3
  • Karl-Josef Prommersberger
    • 2
  1. 1.Department of Trauma and Reconstructive SurgeryUniversity of AachenAachenGermany
  2. 2.Rhön Klinikum AG, Klinik für HandchirurgieBad Neustadt/SaaleGermany
  3. 3.Hand and Upper Extremity Service, Department of Orthopaedic SurgeryMassachussetts General HospitalBostonUSA

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