Comparison of 4 Fluoroscopic Views for Dorsal Cortex Screw Penetration After Volar Plating of the Distal Radius

Intraoperative Evaluation of Dorsal Screw Prominence after Polyaxial Volar Plate Fixation of Distal Radius Fractures Utilizing the Hoya View: A Cadaveric Study

“…The dorsal tangential view was performed with the wrist flexed 70°and the X-ray beam directed in the sagittal plane of Lister's tubercle [9]. Ozer et al reported sensitivities for each view at each screw location and length of screw used.…”

Distal Radial Traction Radiographs: Interobserver and Intraobserver Reliability Compared with Computed Tomography

“…Despite the level of surgeon experience, these results appear relatively consistent from resident to board-certified orthopaedic surgeon. Although radiographs of the wrist in supination and in pronated oblique views have not been reported to aid in specific fracture fragment identification, as far as we know, their use after fixation of distal radial fractures aids in the visualization of screw penetration in specific areas 24 . Perhaps in the same way that oblique Judet radiographs allow better fracture characterization in acetabular 25 , our radiographs involving supination and pronation oblique views, in addition to other radiographs, assist in fragment identification, which may partially explain the lack of a significant difference between CT and traction radiographs.…”

Dorsal Screw Penetration With the Use of Volar Plating of Distal Radius Fractures

“…Several radiographic studies have aimed at defining the depth of the valley and describing the optimal fluoroscopic images to judge the screw prominent. [16][17][18][19][20][21][22] None of these studies though have offered a safe screw length to avoid penetration of the dorsal cortex or offered which location on a volar plate is most likely to be prominent.…”