{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T04:19:27Z","timestamp":1777695567931,"version":"3.51.4"},"reference-count":23,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2004,3,1]],"date-time":"2004-03-01T00:00:00Z","timestamp":1078099200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2004,3,1]],"date-time":"2004-03-01T00:00:00Z","timestamp":1078099200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2004,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Although arthroscopy offers an unparalleled view of intra\u2010articular pathology, its use in the treatment of intra\u2010articular distal radius fractures remains controversial. This study was designed to compare functional and radiologic outcomes of arthroscopically assisted (AA) versus fluoroscopically assisted (FA) reduction and external fixation of distal radius fractures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Type of study<\/jats:title>\n                    <jats:p>Retrospective, case\u2010matched comparison of 2 different procedures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Between January 1995 and December 1999, 15 patients with comminuted intra\u2010articular distal radius fractures underwent AA external fixation and percutaneous pinning. Fifteen patients underwent external fixation and FA reduction and pinning. Patients in both groups were matched for fracture pattern and age.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Follow\u2010up evaluation consisted of an evaluation of grip strength and range of motion as well as radiographic evaluation of palmar tilt, radial shortening, stepoff, and degenerative changes. Health\u2010related quality of life outcomes were assessed using the Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire. Patients who underwent AA surgery had significantly improved supination compared with those who underwent FA surgery (88\u00b0\n                      <jats:italic>v<\/jats:italic>\n                      73\u00b0;\n                      <jats:italic>P<\/jats:italic>\n                      = .02). AA reduction also resulted in improved wrist extension (mean, 77\u00b0\n                      <jats:italic>v<\/jats:italic>\n                      69\u00b0;\n                      <jats:italic>P<\/jats:italic>\n                      = .01) and wrist flexion (mean, 78\u00b0\n                      <jats:italic>v<\/jats:italic>\n                      59\u00b0;\n                      <jats:italic>P<\/jats:italic>\n                      = .02). Radial shortening, Knirk and Jupiter congruity grades, and DASH scores were similar for both groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>AA reduction and fixation of intra\u2010articular distal radius fractures permits a more thorough inspection of the ulnar\u2010sided components of the injury. At follow\u2010up evaluation, patients who underwent AA procedures had a greater degree of supination, flexion, and extension than patients undergoing FA surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of evidence<\/jats:title>\n                    <jats:p>Level II prospective cohort study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2004.01.010","type":"journal-article","created":{"date-parts":[[2004,3,6]],"date-time":"2004-03-06T05:39:24Z","timestamp":1078551564000},"page":"225-230","source":"Crossref","is-referenced-by-count":124,"title":["Arthroscopic reduction versus fluoroscopic reduction in the management of intra\u2010articular distal radius fractures"],"prefix":"10.1002","volume":"20","author":[{"given":"David S","family":"Ruch","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery Wake Forest University School of Medicine Winston\u2010Salem North Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeff","family":"Vallee","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Wake Forest University School of Medicine Winston\u2010Salem North Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gary G","family":"Poehling","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Wake Forest University School of Medicine Winston\u2010Salem North Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Beth Paterson","family":"Smith","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Wake Forest University School of Medicine Winston\u2010Salem North Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gary R","family":"Kuzma","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Wake Forest University School of Medicine Winston\u2010Salem North Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2004,3,1]]},"reference":[{"key":"e_1_2_2_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/0749-8063(95)90210-4"},{"key":"e_1_2_2_3_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.80B6.0800959"},{"key":"e_1_2_2_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-8063(98)70102-1"},{"key":"e_1_2_2_5_1","doi-asserted-by":"publisher","DOI":"10.1053\/ar.1999.v15.015021"},{"key":"e_1_2_2_6_1","first-page":"508","article-title":"Arthroscopic management of tibial plateau fractures: An unselected series","volume":"28","author":"Mazoue C.","year":"1999","journal-title":"Am J Orthop"},{"key":"e_1_2_2_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-8063(00)90082-3"},{"key":"e_1_2_2_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005131-200005000-00014"},{"key":"e_1_2_2_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/107110070102200207"},{"key":"e_1_2_2_10_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.82B3.0820345"},{"key":"e_1_2_2_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-8063(96)90016-X"},{"key":"e_1_2_2_12_1","doi-asserted-by":"publisher","DOI":"10.1053\/jars.2000.17717"},{"key":"e_1_2_2_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0266-7681(98)80065-X"},{"key":"e_1_2_2_14_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199908000-00005"},{"key":"e_1_2_2_15_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199603000-00006"},{"key":"e_1_2_2_16_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198668050-00003"},{"key":"e_1_2_2_17_1","doi-asserted-by":"publisher","DOI":"10.1053\/jhsu.2000.6467"},{"key":"e_1_2_2_18_1","first-page":"418","article-title":"Intracarpal ligamentous lesions associated with fractures of the distal radius: Outcome at one year. 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