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首页> 外文期刊>Journal of Hand Surgery. American Volume >Outcomes Associated With Scapholunate Ligament Injury Following Intra-Articular Distal Radius Fractures
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Outcomes Associated With Scapholunate Ligament Injury Following Intra-Articular Distal Radius Fractures

机译：关节内半径裂缝后术后透析韧带损伤相关的结果

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Purpose The purpose of this study was to evaluate a series of intra-articular distal radius fractures (DRFs) to determine whether patients without radiographic evidence of scapholunate (SL) ligament injury have a difference in outcomes in comparison with patients with radiographic evidence of SL ligament injury and no ligament repair or reconstruction. Our hypothesis is that there are no significant differences in outcomes between patients after treatment of their intra-articular DRF. Methods A retrospective analysis of patients from a single institution who sustained an intraarticular DRF from January 2006 through January 2019 with minimum 12-month (n = 192) and 24-month (n = 100) follow-up was performed. Patient demographic, clinical, and outcome variables were compared between SL angles less than 70 degrees (cohort 1) and SL angles 70 degrees or greater (cohort 2). Radiographic parameters were measured and recorded at 3 time points: baseline in the contralateral wrist, following closed reduction but prior to surgical intervention, and at final follow-up. Outcomes collected included Quick Disabilities of the Arm, Shoulder, and Hand (QuickDASH), Modified Global Assessment of Function (mGAF), and a visual analog scale (VAS) for pain. Results One hundred ninety-two patients were included. Of these 192 patients, cohort 1 (n = 110) was observed to have median (range) SL angles of 58 degrees (42 degrees e68 degrees) and cohort 2 (n = 82) median (range) SL angles of 74.5 degrees (70 degrees-87 degrees) after closed reduction. Cohort 2 had statistically significant increases in median SL angles from closed reduction to final follow-up (74.5 degrees [range, 70 degrees-87 degrees) to 78.5 degrees (range, 71 degrees-107 degrees). There were no statistically significant differences in QuickDASH disability scores, mGAF scores, and VAS pain scores between the cohorts at initial and final follow-ups. Conclusions Patient-reported outcomes at 12 and 24 months do not differ between patients without radiographically apparent SL ligament injury (SL angles < 70 degrees) and patients with radiographically apparent SL ligament injury(SL angles < 70 degrees) who do not undergo ligament repair or reconstruction following treatment of their intra-articular DRF. Copyright (C) 2021 by the American Society for Surgery of the Hand. All rights reserved.)
机译：目的本研究旨在评估一系列桡骨远端关节内骨折（DRF），以确定无肩胛月韧带（SL）损伤影像学证据的患者与有SL韧带损伤影像学证据且无韧带修复或重建的患者相比，其预后是否有差异。我们的假设是，关节内DRF治疗后，患者之间的预后没有显著差异。方法回顾性分析2006年1月至2019年1月在同一机构接受关节内DRF治疗的患者，并进行至少12个月（n=192）和24个月（n=100）的随访。在SL角度小于70度（队列1）和SL角度大于等于70度（队列2）之间比较患者的人口统计学、临床和结果变量。在3个时间点测量和记录放射学参数：对侧腕关节基线、闭合复位后但在手术干预前以及最终随访时。收集的结果包括手臂、肩膀和手的快速残疾（QuickDASH）、改良的整体功能评估（mGAF）和疼痛视觉模拟量表（VAS）。结果纳入192例患者。在这192名患者中，观察到队列1（n=110）闭合复位后SL角的中位数（范围）为58度（42度e68度），队列2（n=82）SL角的中位数（范围）为74.5度（70度-87度）。队列2从闭合复位到最终随访（74.5度[范围70度-87度]到78.5度（范围71度-107度），SL角中位数在统计学上显著增加.在最初和最后的随访中，两组之间的快速冲刺残疾评分、mGAF评分和VAS疼痛评分没有统计学上的显著差异。结论在关节内DRF治疗后，无明显SL韧带损伤（SL角度<70度）和无明显SL韧带损伤（SL角度<70度）的患者在12个月和24个月时报告的结果没有差异。版权所有（C）2021美国外科学会的手。版权所有。）

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