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Management of Intercarpal Ligament Injuries Associated with Distal Radius Fractures
Mihir J Desai1, Robin N Kamal2, Marc J Richard1
1Department of Orthopaedic Surgery, Duke University, 4709 Creekstone Drive, Durham, NC 27703, USA.
Abstract:
The prevalence of ligamentous injury associated with fractures of the distal radius is reported to be as high as 69% with injury to the scapholunate interosseous ligament and lunotriquetral interosseous ligament occurring in 16% to 40% and 8.5% to 15%, respectively. There is a lack of consensus on which patients should undergo advanced imaging, arthroscopy, and treatment and whether this changes their natural history. Overall, patients with high-grade intercarpal ligament injuries are shown to have longer-term disability and sequelae compared with those with lower-grade injuries. This article reviews the diagnosis and treatment options for these injuries.
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