Distal Radius Fractures Arthroscopic-Assisted Fixation

Arthroscopy of the wrist has been an extremely useful tool for the diagnosis and treatment of wrist problems for 20 years. It provides an unparalleled ability to visualize the articular cartilage, ligaments, and triangular fibrocartilage complex of the wrist. It has become a useful tool in the treatment not only of these soft tissues but also of distal radius fractures, particularly those fractures involving the articular surface. The overall treatment of distal radius fractures is in continual evolution, and the role of arthroscopy in the treatment of these injuries also continues to evolve. We are presenting our approach and philosophy of the use of wrist arthroscopy in the treatment of distal radius fractures. It is especially useful in treatment of radial styloid fractures, extremely comminuted fractures, pilon and die punch fractures of the distal radius. It is helpful when there are suspected associated soft tissue injuries to either the intercarpal ligaments or to the triangular fibrocartilage complex. It has the ability to be used as a diagnostic or therapeutic modality alone or in conjunction with either external or internal fixation. Indications and useful techniques are included in this manuscript along with possible future uses of wrist arthroscopy in the treatment of distal radius fractures. Oper Tech Sports Med 18:189-196 (C) 2010 Elsevier Inc. All rights reserved.