Exploration of Wrist Soft Tissue Injuries Associated With Wrist Fractures
The purpose of this study is to describe and stage lesions of the triangular fibrocartilage complex (TFCC) in association with distal radius fractures. 20 patients with dorsally dislocated AO type A fractures of the distal radius with sufficient displacement (based of cadaveric data) will be included. After stability testing and wrist arthroscopy. The TFCC is explored through a volar incision and injuries were documented and repaired from this approach.
|Study Design:||Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Diagnostic
|Official Title:||Exploration of Acute TFCC-injuries in Association With Distal Radius Fractures|
- Residual instability symptoms [ Time Frame: Approx 2-6 months to include the patients that meet the inclusion criteria. They will be followed for 6 momths ] [ Designated as safety issue: Yes ]Mechanisms of injury are poorly previously described. This study will hopefully confirm cadeveric data. There is some evidence that patients might benefit from acute repair. Residual instability can be both ulnocarpal and radioulnar.
- Adverse events [ Time Frame: Three months ] [ Designated as safety issue: Yes ]Patients that accept to participate will undergo exploration from a (new) ulnovolar approach. The study is purely descriptive. Patients are monitored for adverse events such as nerve injury and infection for 3 months.
|Study Start Date:||August 2009|
|Study Completion Date:||May 2011|
|Primary Completion Date:||May 2011 (Final data collection date for primary outcome measure)|
Procedure: Arthroscopy, surgery
Ulno-volar wrist approach to the TFCC