Advertisement
Paper| Volume 26, ISSUE 4, P231-235, May 1995

Carpal malalignment following intra-articular fractures of the distal radius in a working population

      This paper is only available as a PDF. To read, Please Download here.

      Abstract

      In a review of 52 consecutive intra-articular fractures of the wrist (mean age 41 years), 18 developed one of five carpal malalignment patterns. Seven patients developed a volar intercalated collapse pattern. Although showing some loss of motion and/or grip strength, this group remains relatively pain free on follow-up. Patients who developed dorsal translation (six cases) or a dorsal intercalated collapse pattern (one case) were the most symptomatic, with loss of grip strength, decreased range of motion and pain being prevalent.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Injury
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Bickerstaff DR
        • Bell MJ
        Carpal mal-alignment in Colles' fractures.
        J Hand Surg [Br]. 1989; 14B: 155
        • Watson HK
        • Castle Jr, TH
        Trapezoidal osteotomy of the distal radius for unacceptable articular angulation after Colle's fracture.
        J Hand Surg. 1988; 13A: 837
        • Taleisnik J
        Classification of carpal instability.
        in: Taleisnik J The Wrist. Churchill Livingstone, New York1985: 229
        • Linscheid RL
        • Dobyns JH
        • Beabout JW
        • Bryan RS
        Traumatic instability of wrist. Diagnosis, classification and pathomechanics.
        J Bone Joint Surg [Am]. 1972; 54A: 1612
        • Bradway JK
        • Amadio PC
        • Cooney WP
        Open reduction and internal fixation of displaced, comminuted intra-articular fractures of the distal end of the radius.
        J Hand Surg. 1989; 71A: 839
        • McQueen M
        • Caspers J
        Colles' fractures: does the anatomical result affect the final outcome.
        J Bone Joint Surg [Br]. 1988; 70B: 649
        • Howard PW
        • Steward HD
        • Hind RE
        • Burke FD
        External fixation or plaster for severely displaced comminuted Colles' fractures? A prospective study of anatomical and functional results.
        J Bone Joint Surg. 1989; 71B: 68
        • Taleisnik J
        • Watson HK
        Mid-carpal instability caused by mal-united fractures of the distal radius.
        J Hand Surg. 1984; 9A: 350
        • De Rouen J
        • Mouchet A
        Les Lesions traumatique fermees du poignet.
        in: Presented at the 28th Congress Francais de Chirurgie, Paris1919
        • Cooney WP
        • Dobyns JH
        • Linscheid RL
        Complications of Colles' fractures.
        J Bone Joint Surg [Am]. 1980; 62A: 613
        • Mann FF
        • Kang SW
        • Gilula LA
        Normal palmar tilt: is dorsal tilting really normal?.
        J Hand Surg [Br]. 1992; 17B: 315
        • Gartland Jr, JJ
        • Werley CE
        Evaluation of healed Colles' fractures.
        J Bone Joint Surg. 1951; 33A: 895
        • Sarmiento A
        • Pratt GW
        • Berry NC
        • Sinclair WF
        Colles' fractures. Functional bracing in supination.
        J Bone Joint Surg [Am]. 1975; 57A: 311