Modern Approaches to the Diagnosis and Treatment of Distal Radius Fractures Associated with Capsular-Ligamentous Injuries: A Literature Review

Introduction. Distal radius fractures (DRF) are often combined with injuries to the ligaments of the wrist joint (TFCC, SLL). These combined injuries frequently remain undiagnosed, leading to chronic pain and dysfunction. The purpose of this review is to systematize current data on the diagnosis and treatment of DRF fractures associated with ligament injuries.

Materials and methods. A systematic literature search (2000–2024) was conducted in the PubMed, Scopus, Web of Science, and eLibrary.ru databases using keywords related to DMER fractures and ligament injuries. 73 publications (clinical studies, reviews, guidelines) met the inclusion criteria. The quality of the studies was assessed using standard scales.

Results and discussion. It was found that ligament injuries accompany 20–80% of intra-articular DRF fractures. The “gold standard” for osteosynthesis is internal fixation with a volar locking plate. Arthroscopically-assisted techniques allow for anatomical reduction and simultaneous ligament repair. The role of early controlled rehabilitation is emphasized.

Conclusions. Successful treatment depends on a comprehensive approach: accurate diagnosis (magnetic resonance imaging, arthroscopy), anatomical stable osteosynthesis, simultaneous restoration of ligaments, and early individualized rehabilitation. Promising directions include the development of integrated classifications and the implementation of minimally invasive arthroscopic technologies. 

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