CT and Adjunctive Arthroscopy
Arthroscopy is an option in patients with distal radius intra articular fractures to improve diagnostic accuracy for wrist ligament injuries, and CT is an option to improve diagnostic accuracy for patterns of intra-articular fractures.
LIMITED RECOMMENDATION Rationale
Arthroscopy can improve the evaluation of carpal ligament lesions but the included studies did not demonstrate the effect of this on patient outcome.58, 59 The single study on the use of CT scanning demonstrated better fracture characterization but did not associate these findings with improved outcome.60 Based on the lack of patient treatment outcome and concerns regarding the additional costs, the recommendation was downgraded to “Limited.”