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Journal of Hand Surgery (European Volume)
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Articles

The Value of Plain X-Rays in Predicting TFCC Injury after Distal Radial Fractures

H. BOMBACI
A. POLAT
G. DENIZ
O. AKINCI

From the 1st Orthopaedics and Traumatology Department, Haydarpasa Numune Education and Research Hospital, Uskudar, Istanbul, Turkey and the 1st Radiology Department, Haydarpasa Numune Education and Research Hospital, Uskudar, Istanbul, Turkey

Correspondence: Dr Hasan Bombaci, MD, Haydarpasa Numune Education and Research Hospital, Uskudar, Istanbul 34671, Turkey. E-mail: bombacih{at}hotmail.com.

In this prospective study, the plain X-rays and MRI scans of 60 patients with intraarticular distal radius fractures were examined in random order. MRI evaluation revealed that 27 of the 60 patients (45%) had triangular fibrocartilage lesions. No correlation was found between triangular fibrocartilage injury and the Melone classification system, the presence of an ulnar styloid fracture, comminution of the articular surface of the distal radius, >20° dorsal angulation of the distal radius or subluxation/dislocation of the distal radioulnar joint on the plain X-rays. When Frykman Type VI and VIII fractures were compared with all the other Frykman subtypes, a significant difference in the incidence of triangular fibrocartilage complex tears was observed. We conclude that triangular fibrocartilage injury should be considered with all distal radial fractures, especially the Frykman Types VI and VIII.

Journal of Hand Surgery (European Volume), Vol. 33, No. 3, 322-326 (2008)
DOI: 10.1177/1753193408090106
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