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Concomitant skeletal and soft tissue injuries

R J Belsole1, A V Hess

  • 1Division of Orthopaedic Surgery, University of South Florida, College of Medicine, Tampa.

The Orthopedic Clinics of North America
|April 1, 1993
PubMed
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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.

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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.