Anatomical study comparing the thickness of the volar and dorsal cortex of cadaveric adult distal radii using digital photography

Dhillon, S. S.; Kumar, Arvind; Sadaiyyappan, V.; Bassi, R. S.; Shanahan, Donal; Deshmukh, S. C.

doi:10.1007/s00402-007-0394-8

Cited by 13 publications

(9 citation statements)

References 13 publications

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“…The mean differences from the articular surface were 0.27 mm, 0.45 mm, and 0.78 mm at 0, 5, and 10 mm, respectively. There were no differences between the thickness of the lateral and medial cortices [ 18 ]. This information should be taken into account during volar plating of distal radius fractures [ 19 ].…”

Section: A Fresh Look At Distal Radius Biomechanicsmentioning

confidence: 99%

Distal radius anatomy applied to the treatment of wrist fractures by plate: a review of recent literature

Obert

Loisel

Gasse

et al. 2015

SICOT-J

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Few studies on the anatomy of the radial epiphysis have been published in the past 10 years. However, with the availability of new intra- and extra-medullary implants and the recent rash of avoidable iatrogenic injuries, now is the time for a more detailed description of the metaphyseal-epiphyseal regions in the distal radius. Published studies on distal radius anatomy in recent years have focused on three aspects: distal limit and watershed line, dorsal tubercle, and wrist columns. Furthermore, a fresh look at distal radius biomechanics shows that the loads experienced by the distal radius vary greatly. This information should be taken into account during volar plating of distal radius fractures.

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Section: A Fresh Look At Distal Radius Biomechanicsmentioning

confidence: 99%

Distal radius anatomy applied to the treatment of wrist fractures by plate: a review of recent literature

Obert

Loisel

Gasse

et al. 2015

SICOT-J

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“…Furthermore, Older's classification does not take into consideration comminution of the volar cortex. Although unproven yet, we believe that the volar cortex and comminution of it is of uttermost importance for fracture stability and choice of treatment, as it behaves as the calcar of the distal radius [6,17].…”

Section: Introductionmentioning

confidence: 99%

The Buttazzoni Classification of Distal Radial Fractures in Adults: Interobserver and Intraobserver Reliability

Wadsten

Sayed-Noor

Sjödén

et al. 2009

Hand (New York, N,Y.)

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Despite the fact that distal radial fracture is the commonest fracture, there is a little evidence-based knowledge about the value of its classification to guide management and predict prognosis. The available classification systems are either complicated or weakly applicable in clinical practice. Older's classification is the most reliable, but does not cover all radial fracture types. We evaluated the interobserver and intraobserver reliability of a new classification system which is a modification of Older's classification covering all radial fracture types. Two hundred and thirty-two consecutive adult patients with acute distal radial fractures were blindly evaluated according to the new classification by three orthopedic surgeons twice with 1-year interval. The interobserver reliability was measured using the Fleiss kappa coefficient, and the intraobserver reliability was measured using the Cohen's kappa coefficient. The new classification showed fair to substantial interobserver and intraobserver reliability, i.e., results comparable to the reliability of commonly used classification systems. The reliability was better for younger patients and when evaluation was carried out by handsurgery-interested orthopedic surgeons. The new classification system is simple, covers all radial fracture types, and has an acceptable reliability. Further studies are needed to judge its ability to direct management and predict prognosis.

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“…It included volar cortical comminution, overlooked by previous classifications, as a separate parameter owing to its anatomical and biomechanical importance as the "calcar" of the distal radius. 23 The utility of this system by testing its interobserver reliability and intraobserver reproducibility was previously reported. 7 In a prospective multicenter clinical trial, the ability of the system to predict radiological stability was tested, and revealed that fractures with initially nonacceptable radiographic alignment and cortical comminution were highly unstable.…”

Section: Discussionmentioning

confidence: 93%

Influence of Cortical Comminution and Intra-articular Involvement in Distal Radius Fractures on Clinical Outcome: A Prospective Multicenter Study

et al. 2017

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The purpose of this prospective multicenter study was to test the predictive value of cortical comminution and intra-articular involvement on function and quality of life in distal radius fractures (DRFs) using the Buttazzoni's classification system. We studied 406 patients between skeletal maturity and 74 years of age with DRF. Fractures with acceptable radiographic alignment were immobilized with a cast. Fractures with nonacceptable radiographic alignment underwent closed reduction and 4 to 6 weeks cast immobilization. Radiographs were obtained after reduction and at 10 to 14 days. Redisplaced fractures were offered surgical treatment. One-year follow-up included grip strength, range of motion (ROM), quickDASH, EQ-5D (including visual analog scale [VAS] for health status), and VAS pain. We found no statistically significant differences in QuickDASH, EQ-5D questionnaire, EQ-5D health status VAS, and VAS pain among the Buttazzoni classes. However, initial displacement was associated with worse quickDASH score, worse EQ-5D score, reduced grip strength, and reduced ROM. Dorsal comminution was associated with worse quickDASH score, reduced flexion, and reduced pronation-supination ability. Volar comminution predicted loss of extension, while intra-articular involvement was associated with reduced flexion-extension arc and worse EQ-5D score. There was a significant difference in ROM between noncomminuted and comminuted fracture classes. Initial fracture position, type of comminution, and intra-articular involvement influenced the clinical outcome in DRF.

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Anatomical study comparing the thickness of the volar and dorsal cortex of cadaveric adult distal radii using digital photography

Cited by 13 publications

References 13 publications

Distal radius anatomy applied to the treatment of wrist fractures by plate: a review of recent literature

Distal radius anatomy applied to the treatment of wrist fractures by plate: a review of recent literature

The Buttazzoni Classification of Distal Radial Fractures in Adults: Interobserver and Intraobserver Reliability

Influence of Cortical Comminution and Intra-articular Involvement in Distal Radius Fractures on Clinical Outcome: A Prospective Multicenter Study

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