Comparison of lateral and skyline fluoroscopic views for detection of prominent screws in distal radius fractures plating: results of an ultrasonographic study

Herisson, Olivier; Delaroche, C.; Maillot-Roy, Sandrine; Sautet, Alain; Doursounian, Levon

doi:10.1007/s00402-017-2759-y

Cited by 11 publications

(7 citation statements)

References 37 publications

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“…The indications must be assessed precisely, but in many cases, there is no alternative. Newer studies have shown that this risk can be reduced using low profile dorsal plates [96][97][98][99]. Some fracture types demand a very distal positioning of the plate, otherwise the fracture remains unstable.…”

Section: Hardware Associated Complicationsmentioning

confidence: 99%

Complications after operatively treated distal radius fractures

Rosenauer

Pezzei

Quadlbauer

et al. 2020

Arch Orthop Trauma Surg

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In the recent years, treatment of distal radius fractures (DRF) has advanced considerably. Surgical fixation with palmar angular stable plate has gained popularity, due to a reported lower complication rate when compared to dorsal fixation. The type of trauma or injury, surgical procedure and impaired bone quality are all contributors to complications in DRF. The main aim of this review is to summarize the most common complications and possible therapeutic solutions. In addition, strategies for minimizing these complications will be discussed.

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Section: Hardware Associated Complicationsmentioning

confidence: 99%

Complications after operatively treated distal radius fractures

Rosenauer

Pezzei

Quadlbauer

et al. 2020

Arch Orthop Trauma Surg

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“…They were partly used in combination with external fixation. However, secondary dislocation still occurred [9][10][11][12][13][14], that necessitated correction and salvage procedures [15][16][17][18][19][20][21][22][23][24][25][26][27].…”

Section: Introductionmentioning

confidence: 99%

Biomechanical considerations on a CT-based treatment-oriented classification in radius fractures

Hintringer¹,

Rosenauer

Pezzei

et al. 2020

Arch Orthop Trauma Surg

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A wide range of different classifications exist for distal radius fractures (DRF). Most of them are based on plane X-rays and do not give us any information on how to treat these fractures. A biomechanical understanding of the mechanical forces underlying each fracture type is important to treat each injury specifically and ensure the optimal choice for stabilization. The main cause of DRFs are forces acting on the carpus and the radius as well as the position of the wrist in relation to the radius. Reconstructing the mechanism of the injury gives insight into which structures are involved, such as ruptured ligaments, bone fragments as well as the dislocated osteoligamentous units. This article attempts to define certain key fragments, which seem crucial to reduce and stabilize each type of DRF. Once the definition is established, an ideal implant can be selected to sufficiently maintain reduction of these key fragments. Additionally, the perfect approach is selected. By applying the following principles, the surgeon may be assisted in choosing the ideal form of treatment approach and implant selection.

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“…In a computed tomography-based clinical study by Özbek et al,[ 17 ] all of the used screws were 2 mm shorter than measured and a penetrating screw was seen in 16% of the patients, although the skyline view was found to be better than the lateral view. On the contrary, Herisson et al[ 18 ] showed that the skyline view was not more sensitive than the lateral view in a USG-based study. The results may vary, if the dorsal cortex is fragmented and there is a traumatic and swollen wrist.…”

Section: Discussionmentioning

confidence: 95%

Does skyline view prevent extensor tendon pathologies during volar plating of distal radius? An ultrasonographic evaluation

Yüksel,

Nazmican Güröz,

Öztürk

et al. 2023

Jt Dis Relat Surg

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Objectives This study aims to compare extensor tendon complications of volar plating in distal radius fractures between skyline and lateral views by using postoperative ultrasonography (USG). Patients and methods Between January 2019 and February 2020, a total of 82 distal radius fractures of 79 patients (39 males, 43 females; median age: 56±12.9 years; range, 23 to 79 years) who were operated with distal four-hole plates and had a follow-up period of at least three months were retrospectively analyzed. During distal radius locking plating, standard lateral fluoroscopic view was used in 36 distal radius fractures and skyline view in addition to lateral view was used in 46 cases. A median of five months later, the protruding screws and extensor compartments were evaluated with USG. The number of screws with dorsal penetration, extent of penetration, and extensor tendon complications were compared between skyline and lateral view groups. Results In the skyline view group, the rate of dorsal screw penetration was significantly lower than that of the lateral view group (7.3% vs. 14.7%, respectively; p<0.05). Additionally, the rate of extensor tenosynovitis was lower in the skyline view group than in the lateral view group (15% vs. 39%, respectively; p<0.05). No significant difference was seen in the extent of penetration between the groups (1.4 vs. 1.65 mm, respectively; p=0.089). The second compartment had the highest risk for dorsal screw penetration. One case of tendon rupture in the third compartment occurred in the lateral view group. Conclusion The skyline view seems to be an effective method to prevent extensor tendon complications caused by protruding screws.

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Comparison of lateral and skyline fluoroscopic views for detection of prominent screws in distal radius fractures plating: results of an ultrasonographic study

Abstract: III, case-control study.

Cited by 11 publications

References 37 publications

Complications after operatively treated distal radius fractures

Complications after operatively treated distal radius fractures

Biomechanical considerations on a CT-based treatment-oriented classification in radius fractures

Does skyline view prevent extensor tendon pathologies during volar plating of distal radius? An ultrasonographic evaluation

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