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Carpal malalignment in Colles' fractures.

D R Bickerstaff1, M J Bell

  • 1Royal Hallamshire Hospital, Sheffield.

Journal of Hand Surgery (Edinburgh, Scotland)
|May 1, 1989
PubMed
Summary
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Colles

Area of Science:

  • Orthopedic surgery
  • Radiology
  • Biomechanics

Background:

  • Colles' fractures are common wrist injuries.
  • Carpal malalignment can lead to poor functional outcomes.
  • The etiology of post-fracture morbidity requires further investigation.

Purpose of the Study:

  • To investigate the correlation between carpal alignment and functional scores one year after Colles' fracture.
  • To identify radiographic parameters indicative of long-term wrist function.

Main Methods:

  • Retrospective review of 32 unilateral Colles' fractures.
  • Radiographic assessment of carpal alignment (angles) and dimensions (radial shortening/angulation).
  • Correlation of radiographic parameters with functional scores at one-year follow-up.

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Main Results:

  • Significant correlation found between late radiographic carpal alignment angles and functional scores.
  • No significant correlation observed with initial or post-manipulation films.
  • Carpal alignment predominantly followed a dorsal instability pattern.
  • Radial angulation or shortening showed less significance in predicting outcomes.

Conclusions:

  • Dorsal instability is a common cause of morbidity after Colles' fracture.
  • Late radiographic assessment of carpal alignment is crucial for predicting functional outcomes.
  • Carpal malalignment, specifically dorsal instability, is a more frequent cause of morbidity than previously recognized.