An analysis of causes and treatment outcome of chronic wrist pain after distal radial fractures

Hand Surgery : an International Journal Devoted to Hand and Upper Limb Surgery and Related Research : Journal of the Asia-Pacific Federation of Societies for Surgery of the Hand
H S ChengJ Wong

Abstract

Healed distal radial fractures are frequently complicated by chronic wrist pain which is multifactorial and can be debilitating. An accurate delineation of the pathoanatomy is the key for successful treatment. This study reviewed 22 patients who had surgical treatment between 1997 and 2001 for chronic wrist pain after distal radial fracture. Four patterns of pathoanatomy were identified: (1) ulnar impaction caused by radial malunion and shortening; (2) ulnar styloid non-union; (3) triangular fibrocartilage complex (TFCC) tears with or without distal radioulnar joint (DRUJ) instability; and (4) intercarpal ligament injuries and chondral lesions. Surgical treatment directed towards identified abnormalities gave satisfactory outcome. At six months after surgery the mean functional score improved 36%, mean pain score decreased 50%, mean grip strength improved 25%, and 64% of patients returned to work.

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Citations

Apr 2, 2010·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·J C BellotiJ B Gomes Dos Santos
Mar 7, 2013·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Yukio AbeYasuhiro Tominaga
Jun 12, 2013·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Yasuaki NakanishiYasuhito Tanaka
Feb 3, 2009·The Journal of Hand Surgery·Jeffrey A Greenberg
Aug 1, 2015·Indian Journal of Orthopaedics·Alireza SaiedAlireza Pooladsanj
Apr 9, 2017·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Flavien MaulerPhilipp Fürnstahl
Jun 4, 2015·The Journal of Hand Surgery, European Volume·H S GongG H Baek
Dec 10, 2013·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Gokmen DenizAli Tugay
Jun 23, 2021·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Samuel BaekSeoung Joon Lee
Aug 13, 2021·Journal of Wrist Surgery·Richard SamadeKanu S Goyal

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