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Journal of Hand Surgery (British and European Volume)
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Articles

The Clinical Importance of Carpal Instabilities Following Distal Radial Fractures

D. STOFFELEN
K. DE MULDER
P. BROOS

From the Department of Traumatology and Reconstructive Surgery, University Hospital Gasthuisberg, Leuven, Belgium

Correspondence: Prof. Dr D. Stoffelen, Department of Traumatology and Reconstructive Surgery, University Hospital Gasthuisberg, Herestraat 49, 3000 Leuven, Belgium.

A prospective study was undertaken to determine the clinical importance of the different carpal instabilities following dorsally displaced distal radial fractures (Colles’ type). All patients were followed for 1 year and a Cooney score and X-ray evaluation were done. Nine different carpal instabilities were evaluated. Only dissociative DISI and ulnar translocation showed significant clinical differences at 1 year follow-up. It is therefore recommended that a dissociative DISI, usually caused by scapholunate dissociation, should be treated by percutaneous pinning at the time of the initial treatment.

Journal of Hand Surgery (British and European Volume), Vol. 23, No. 4, 512-516 (1998)
DOI: 10.1016/S0266-7681(98)80135-6
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This article has been cited by other articles:


Home page
 J Hand Surg Eur VolHome page
D. SONG, S. GOODMAN, L. A. GILULA, and R. WOLLSTEIN
Ulnocarpal Translation in Perilunate Dislocations
J Hand Surg Eur Vol., June 1, 2009; 34(3): 388 - 390.
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