Are radiographic measurements of the displacement of a distal radial fracture reliable and reproducible?

Stirling, Euan; Jeffery, John; Johnson, Nick R.; Dias, Joseph

doi:10.1302/0301-620x.98b8.37469

Cited by 30 publications

(25 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Most previous studies on measurements performed on native radiographs have shown moderate or good reliability concerning extra-articular fractures, but the reliability for evaluating articular surface incongruence is poor (Kreder et al., 1996; Stirling et al., 2016; Suojärvi et al., 2015; Watson et al., 2016). A thorough review on the radiographic parameters of distal radius fractures showed marked variability in the actual description of performing the measurements (Lalone et al., 2015).…”

Section: Discussionmentioning

confidence: 98%

Radiographic measurements of the normal distal radius: reliability of computer-aided CT versus physicians’ radiograph interpretation

Suojärvi

Lindfors

Höglund

et al. 2020

J Hand Surg Eur Vol

View full text Add to dashboard Cite

We examined the reliability of a computer-aided cone-beam CT analysis of radiographic parameters of 50 normal distal radii and compared it with interobserver agreement of measurements made by three groups of physicians on two-dimensional plain radiographs. The intra-rater reliability of the computer-aided analysis was evaluated on 33 wrists imaged twice by cone-beam CT. The longitudinal axis, anterior tilt, radial inclination and ulnar variance were measured. The reliability of computer-aided analysis was excellent (intraclass correlation coefficient (ICC) 0.94–0.96) while the interobserver agreement of two-dimensional radiograph interpretation was good (ulnar variance, ICC 0.80–0.84) to poor (anterior tilt and radial inclination, ICC 0.20–0.42). We conclude that computer-aided cone-beam CT analysis was a reliable tool for radiographic parameter determination, whereas physicians demonstrated substantial variability especially in interpreting the angular parameters.

show abstract

Section: Discussionmentioning

confidence: 98%

Radiographic measurements of the normal distal radius: reliability of computer-aided CT versus physicians’ radiograph interpretation

Suojärvi

Lindfors

Höglund

et al. 2020

J Hand Surg Eur Vol

View full text Add to dashboard Cite

show abstract

“…If the diagnostic test (reading the radiograph) is not necessarily accurate, then it follows that the ensuing clinical action may be equally inaccurate. Disagreement in radiographic interpretation is well documented in the medical literature and thus is not a unique finding related to dentistry (Angoulvant, et al, ; Rubenfeld, Caldwell, Granton, Hudson, & Matthay, ; Stirling, Jeffery, Johnson, & Dias, ).…”

Section: Discussionmentioning

confidence: 99%

Intra‐ and inter‐examiner agreement when assessing radiographic implant bone levels: Differences related to brightness, accuracy, participant demographics and implant characteristics

Walton

Layton

2018

Clinical Oral Implants Res

View full text Add to dashboard Cite

show abstract

“…A senior radiologist (H.B. ), who was blinded to patient outcome, conducted all radiographic measurements with use of a standardized protocol 30 , 31 . Range of motion was measured with a goniometer.…”

Section: Methodsmentioning

confidence: 99%

Volar Locking Plate Versus Dorsal Locking Nail-Plate Fixation for Dorsally Displaced Unstable Extra-Articular Distal Radial Fractures

et al. 2021

View full text Add to dashboard Cite

Background: The use of low-profile dorsal and volar locking plates for distal radial fracture surgery has improved results and lowered the complication rate compared with older plate designs. The purpose of the present randomized controlled trial was to compare patient-reported outcomes as well as radiographic and functional results between patients who underwent stabilization with a volar locking plate or a dorsal locking nail-plate for the treatment of dorsally displaced unstable extra-articular distal radial fractures. Methods: One hundred and twenty patients ≥55 years of age were randomized to surgery with either a volar locking plate or a dorsal locking nail-plate and were assessed at 2 weeks, 6 weeks, 3 months, 6 months, and 1 year. The primary outcome was the abbreviated version of the Disabilities of the Arm, Shoulder and Hand (QuickDASH) score. Secondary outcomes were the Patient-Rated Wrist Evaluation (PRWE), EuroQol 5 Dimensions (EQ-5D) index and visual analog scale (VAS), range of motion, grip strength, radiographic measurements, and complication rate. Results: The median age was 66 years (range, 55 to 88 years). The rate of follow-up was 97%. There was no clinically important difference between the groups at any point during follow-up. Patients in the volar locking plate group had better mean QuickDASH scores at 6 weeks, 6 months, and 1 year. However, the differences were small (5.8 vs. 11.3 points at 1 year; mean difference, −5.5 points [95% confidence interval (CI), −9.9 to 1.2]; p = 0.014), which is lower than any proposed minimum clinically important difference (MCID). The difference in PRWE scores was also lower than the MCID (1.0 vs. 3.5 at 1 year; mean difference, −2.5 [95% CI, −4.4 to 0.6]; p = 0.012). The dorsal locking nail-plate group had slightly better restoration of volar tilt (p = 0.011). EQ-5D index, EQ-5D VAS, range of motion, grip strength, and complication rates were similar. Conclusions: We found no clinically relevant difference between the volar locking plate and dorsal locking nail-plate groups after 1 year or in the time period up to 1 year. A dorsal locking nail-plate can therefore be an alternative method for the treatment of these unstable fractures or in cases in which a dorsal approach is preferable over a volar approach. Level of Evidence: Therapeutic Level I . See Instructions for Authors for a complete description of levels of evidence.

show abstract

Are radiographic measurements of the displacement of a distal radial fracture reliable and reproducible?

Abstract: Radiographic assessment of radial angle, radial inclination and dorsal/palmar tilt is a reliable method of determining the degree of displacement of a fracture of the distal radius. Cite this article: Bone Joint J 2016;98-B:1069-73.

Cited by 30 publications

References 15 publications

Radiographic measurements of the normal distal radius: reliability of computer-aided CT versus physicians’ radiograph interpretation

Radiographic measurements of the normal distal radius: reliability of computer-aided CT versus physicians’ radiograph interpretation

Intra‐ and inter‐examiner agreement when assessing radiographic implant bone levels: Differences related to brightness, accuracy, participant demographics and implant characteristics

Volar Locking Plate Versus Dorsal Locking Nail-Plate Fixation for Dorsally Displaced Unstable Extra-Articular Distal Radial Fractures

Contact Info

Product

Resources

About