Wb. Geissler et al., INTRACARPAL SOFT-TISSUE LESIONS ASSOCIATED WITH AN INTRAARTICULAR FRACTURE OF THE DISTAL END OF THE RADIUS, Journal of bone and joint surgery. American volume, 78A(3), 1996, pp. 357-365
Sixty patients who had a displaced intra-articular fracture of the dis
tal end of the radius were managed with manipulative reduction and int
ernal fixation performed under both fluoroscopic and arthroscopic guid
ance, 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 pat
ients (68 per cent) had soft-tissue injuries of the wrist, including t
ears of the triangular fibrocartilage complex (twenty-six patients), t
he scapholunate interosseous ligament (nineteen), and the lunotriquetr
al interosseous ligament (nine), Thirteen patients had two soft-tissue
injuries, Intracarpal soft-tissue injuries were identified most frequ
ently in association with fractures involving the lunate facet of the
distal articular surface or the radius.