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Concomitant skeletal and soft tissue injuries
1Division of Orthopaedic Surgery, University of South Florida, College of Medicine, Tampa.
The Orthopedic Clinics of North America
|April 1, 1993
Summary
This review covers injuries accompanying distal radius fractures, focusing on tendon, arterial, and nerve damage from high-energy trauma. Early diagnosis is crucial to prevent complications like late tendon rupture and intercarpal injuries.
Area of Science:
- Orthopedic Surgery
- Trauma Care
- Radiology
Background:
- Distal radius fractures are common injuries.
- High-energy trauma frequently causes associated soft tissue injuries.
- Delayed diagnosis of these concomitant injuries can lead to poor outcomes.
Purpose of the Study:
- To review common injuries associated with distal radius fractures.
- To highlight the importance of diagnosing tendon, arterial, and nerve injuries.
- To discuss complications such as late tendon rupture and intercarpal injuries.
Main Methods:
- Literature review of concomitant injuries with distal radius fractures.
- Analysis of diagnostic challenges and treatment strategies.
- Discussion of delayed diagnosis implications.
Main Results:
- Concomitant tendon, arterial, and nerve injuries are frequently associated with high-energy trauma mechanisms.
- Delayed diagnosis complicates fracture care and can lead to adverse events.
- Late tendon rupture and intercarpal injuries are significant potential complications.
Conclusions:
- Prompt diagnosis and management of associated injuries are essential for optimal outcomes in distal radius fractures.
- Awareness of potential complications like late tendon rupture is critical.
- Comprehensive assessment following high-energy trauma is necessary.