Análisis artroscópico de las lesiones asociadas a las fracturas de escafoides carpiano

Abstract

ObjectiveArthroscopy has enabled wrist fractures and the injuries associated with them to be diagnosed and treated. There are injuries associated with scaphoid fractures, which may influence the success of treatment and can lead to an unsatisfactory result and delay in the functional recovery. Material and methodA prospective study was conducted on 17 cases with acute scaphoid body fractures treated by arthroscopic reduction and placement of a cannulated scaphoid screw. Systematic arthroscopy evaluation (radiocarpal and midcarpal) was performed, recording the presence or absence of associated lesions in each case. Treatment outcome was measured using the Mayo Wrist Score, and the fracture consolidation evaluated with plain x-rays. ResultsAssociated soft tissues injuries and/or chondral/osteochondral injuries were diagnosed in 14 (82%) cases. The most frequently found lesions were scapholunate ligament injuries (53%) in different degrees, triangular fibrocartilage complex (TFCC) lesions (35.3%), and osteochondral lesions (35.3%). Functional outcomes (Mayo Wrist Score) were excellent or good in 13 patients (76.5%), and in 3 cases (17.5%) the results were fair, and only 1 case (5.9%) had a poor outcome. ConclusionsWrist arthroscopy is a valuable tool for the diagnosis and treatment of wrist injuries. There are associated injuries in acute scaphoid body fractures that could influence treatment outcomes.