Publication

Wrist arthroscopy: a prospective analysis of 53 post-traumatic carpal injuries

Journal Paper/Review - Sep 1, 1997

Units
Keywords
PubMed
Doi
Link
Contact

Citation
Sennwald G, Zdravkovic V. Wrist arthroscopy: a prospective analysis of 53 post-traumatic carpal injuries. Scand J Plast Reconstr Surg Hand Surg 1997; 31:261-6.
Project
Type
Journal Paper/Review (English)
Journal
Scand J Plast Reconstr Surg Hand Surg 1997; 31
Publication Date
Sep 1, 1997
Issn Print
0284-4311
Issn Electronic
Pages
261-6
Publisher
Brief description/objective

We carried out a prospective study of 53 consecutive patients who had sustained a serious wrist injury. Patients who presented with a previous condition or who had undergone surgery to the wrist were excluded. History, clinical findings, standard radiographs and arthrography were correlated with the uninjured side and with arthroscopic findings. The radiolunate (RL) angle of the injured wrist differed significantly from that of the "normal" wrist (p = 0.088). POssible correlations within the whole group were studied by multivariate analysis, particularly k-means clustering, a procedure which enables the detection of natural groups. We found that ligamentous tears at the triquetrum in the midcarpal joint significantly (p = 0.004) affected the equilibrium of the proximal row defined by clustering with the RL and scapholunate (SL) angles. The use of multivariate analysis techniques in combination with cross tabulation for the surgery of intracarpal ligamentous abnormalities seen at arthroscopy might help us to define better the function of the ligaments of the wrist. These findings, of little help in daily practice, might be important for clinical research.