Wrist arthroscopy: a prospective analysis of 53 post-traumatic carpal injuries
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abstract
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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.
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citation
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Sennwald G R, Zdravkovic V. Wrist arthroscopy: a prospective
analysis of 53 post-traumatic carpal injuries. Scand J Plast
Reconstr Surg Hand Surg 1997; 31:261-6.
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type
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journal paper/review (English)
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date of publishing
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9-1997
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journal title
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Scand J Plast Reconstr Surg Hand Surg (31/3)
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ISSN print
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0284-4311
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pages
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261-6
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PubMed
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9299688
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