INTRACARPAL SOFT-TISSUE LESIONS ASSOCIATED WITH AN INTRAARTICULAR FRACTURE OF THE DISTAL END OF THE RADIUS

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.