Fischer M, Denzler C, Sennwald G
Chirurgie St. Leonhard, St. Gallen.
Swiss Surg. 1996;2(6):269-72; discussion 272-3.
Intracarpal ligamentous tears and fractures of the distal radius may have a similar injury mechanism. We performed arthroscopy of the wrist in 54 patients with distal radius fracture to find out the frequency of associated ligamentous tears.
41% of the patients with an extraarticular fracture of the distal radius had at least one severe ligamentous tear of a carpal ligament. In the group of patients with intraarticular fracture we detected ligamentous tears even in 89%. Most frequent were tears of the lunotriquetral ligament.
Associated ligamentous tears are more common than expected. These tears may be of importance in the outcome of treatment of distal radius fractures.
腕骨间韧带撕裂和桡骨远端骨折可能具有相似的损伤机制。我们对54例桡骨远端骨折患者进行了腕关节镜检查，以确定相关韧带撕裂的发生率。
41%的桡骨远端关节外骨折患者至少有一处腕骨韧带严重撕裂。在关节内骨折患者组中，我们甚至检测到89%的患者存在韧带撕裂。最常见的是月三角韧带撕裂。
相关韧带撕裂比预期更常见。这些撕裂可能对桡骨远端骨折的治疗结果具有重要意义。
