PMID- 34549615
OWN - NLM
STAT- MEDLINE
DCOM- 20211027
LR  - 20220902
IS  - 1558-9455 (Electronic)
IS  - 1558-9447 (Print)
IS  - 1558-9447 (Linking)
VI  - 16
IP  - 5
DP  - 2021 Sep
TI  - Early Outcomes of Scapholunate Injuries With Concomitant Distal Radius Fractures.
PG  - 650-656
LID - 10.1177/1558944719890037 [doi]
AB  - Background: There is limited literature regarding the treatment of concomitant 
      scapholunate ligament (SL) injuries in acute distal radius fractures (DRFs). We 
      hypothesized that surgical treatment of SL injuries in adult patients with DRFs 
      leads to improved functional outcomes. Methods: A retrospective review was made 
      of 42 adult patients who underwent surgical treatment of a DRF with a SL injury 
      between 2005 and 2013. In all, 39 of the 42 patients sustained an intra-articular 
      DRF (AO B or C). SL injury was diagnosed by SL diastasis > 3 mm on 
      posteroanterior (PA) radiographs, magnetic resonance imaging, or with wrist 
      arthroscopy. Patients were divided into 3 groups: 23 had a SL repair and were 
      treated within 21 days of injury (acute), 8 underwent SL repair greater than 21 
      days from injury (subacute/chronic), and 11 did not undergo repair 
      (non-operative). Median overall time to clinical follow-up was 5.1 years. Mayo 
      Wrist Scores (MWS) and Disabilities of the Arm, Shoulder and Hand (DASH) scores 
      were used to evaluate functional outcome. Results: Clinical outcomes measured by 
      the MWS at final follow-up (6 months-12 years) showed no significant differences 
      between the 3 groups. Of patients treated acutely, 17.3% had good to excellent 
      MWS. MWS at 1-year follow-up was 68.4, 70, and 64 in the acute, subacute/chronic, 
      and non-operative groups, respectively. DASH scores were 16.7, 14.3, and 11.8 in 
      the acute, subacute/chronic, and nonoperative groups, respectively, at a mean of 
      7.8 years. Conclusions: At mid-term follow-up, all 3 treatment groups had similar 
      DASH scores to the general population. There were no statistical functional 
      differences between any of the groups based upon MWS or DASH scores.
FAU - Duethman, Nicholas C
AU  - Duethman NC
AD  - Mayo Clinic, Rochester MN, USA.
FAU - Aibinder, William R
AU  - Aibinder WR
AD  - Mayo Clinic, Rochester MN, USA.
FAU - Robinson, Nathaniel L
AU  - Robinson NL
AD  - Mayo Clinic, Rochester MN, USA.
FAU - Moran, Steven L
AU  - Moran SL
AD  - Mayo Clinic, Rochester MN, USA.
FAU - Kakar, Sanjeev
AU  - Kakar S
AUID- ORCID: 0000-0002-2886-1510
AD  - Mayo Clinic, Rochester MN, USA.
LA  - eng
PT  - Journal Article
DEP - 20191209
PL  - United States
TA  - Hand (N Y)
JT  - Hand (New York, N.Y.)
JID - 101264149
SB  - IM
MH  - Adult
MH  - Humans
MH  - Ligaments, Articular/diagnostic imaging/surgery
MH  - *Radius Fractures/diagnostic imaging/surgery
MH  - Retrospective Studies
MH  - *Wrist Injuries/diagnostic imaging/surgery
MH  - Wrist Joint
PMC - PMC8461201
OTO - NOTNLM
OT  - concomitant distal radius fractures
OT  - distal radius fractures
OT  - outcomes
OT  - radius
OT  - scapholunate injuries
COIS- Declaration of Conflicting Interests: The author(s) declared no potential 
      conflicts of interest with respect to the research, authorship, and/or 
      publication of this article.
EDAT- 2021/09/23 06:00
MHDA- 2021/10/28 06:00
PMCR- 2022/09/01
CRDT- 2021/09/22 08:39
PHST- 2021/09/22 08:39 [entrez]
PHST- 2021/09/23 06:00 [pubmed]
PHST- 2021/10/28 06:00 [medline]
PHST- 2022/09/01 00:00 [pmc-release]
AID - 10.1177_1558944719890037 [pii]
AID - 10.1177/1558944719890037 [doi]
PST - ppublish
SO  - Hand (N Y). 2021 Sep;16(5):650-656. doi: 10.1177/1558944719890037. Epub 2019 Dec 
      9.