Does the normal contralateral wrist provide the best reference for X-ray film measurements of the patholgoic wrist?

Schuind, Frédéric; Alemzadeh, Sayyed Amirpooya; Stallenberg, Bernard; Burny, Franz Léon

doi:10.1016/s0363-5023(96)80150-x

Cited by 46 publications

(31 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…How accurately this is achieved can be measured from radiographs by comparing volar tilt angle, radial inclination etc. with published normal values [34][35][36][37]. In our study, radial inclination and ulnar variance were superior in the IF group three months postoperatively.…”

Section: Discussionsupporting

confidence: 72%

Internal versus external fixation for unstable distal radius fractures: an up-to-date meta-analysis

Cui

Pan

et al. 2011

International Orthopaedics (SICOT)

View full text Add to dashboard Cite

Purpose Our aim was to compare the effect of internal vs external fixation for unstable distal radius fractures regarding postoperative complications, clinical results and radiological outcomes. Methods We selected PubMed; Cochrane Library; EMBASE; BIOSIS; Ovid and the relevant English orthopaedic journals and pooled data from ten eligible randomised controlled trials containing 738 patients to conduct a subgroup analysis according to different periods of followup. Our aim was to summarise the best available evidence. Results Results showed that compared with external fixation, internal fixation led to significantly fewer total surgical complications [95% confidence interval (CI) 0.39-0.81, P=0.002] and reduced the incidence of pin-track infections (95% CI 0.08-0.46, P=0.0002) after a one year follow-up. For clinical results, grip strength (95% CI 1.59-8.25, P=0.004), supination (95% CI 13.99-48.83, P=0.0004) and pronation (95% CI 5.61-26.09, P=0.002) were superior in the internal fixation group six weeks postoperatively, and the same results were obtained three months postoperatively for grip strength (95% CI 3.21-13.47, P=0.001) and supination (95% CI 3.61-16.01, P=0.002).Meanwhile, the Disabilities of the Arm, Shoulder and Hand (DASH) score was superior in the internal fixation group at three months (95% CI −20.62 to −2.07, P=0.02) and after one year (95% CI −14.37 to −2.32, P=0.007) follow-up. Conclusions We suggest that the final results are significant and there is some evidence supporting the use of open reduction and internal fixation.

show abstract

Section: Discussionsupporting

confidence: 72%

Internal versus external fixation for unstable distal radius fractures: an up-to-date meta-analysis

Cui

Pan

et al. 2011

International Orthopaedics (SICOT)

View full text Add to dashboard Cite

show abstract

“…The findings on radial tilt conformed to that of Zdravkovic and Sennwald but not Jafari et al [1,11] Sex, age and hand dominance have been reported to influence wrist morphometry thus creating differences in side. [9,10] Intra-/inter-predictability In this study, The radial tilt angle for the left and right were identical which conformed to the findings of Zdravkovic and Sennwald. [11] Also, the right capitolunate angle and scapholunate angles correlated significantly with their left side, though the two wrist parameters were bilaterally asymmetrical.…”

Section: Side Differencesupporting

confidence: 90%

“…[1,9,10,[15][16][17][18][19][20] , however differences in sex, race, hand dominance, use and type of occupation have increased the morphomertric variations in these values across regions, [1,4,5,9,10] thus creating a slimmer window for clearly differentiating physiologic variant form pathological abnormalities. Nevertheless, these difficulty will be reduced when country specific normative data are made available.…”

Section: Side Differencementioning

confidence: 99%

“…[8] Studies have shown that age, sex, race, side and hand dominance and workrelated variation in wrist joint parameters exist. [1,9,10] In defining the relationship between the left and right side of the hand, Zdravkovic and Sennwald postulated that in unilateral wrist disease, [11] the opposite unaffected healthy hand can be used as a standard; hence reference to a normal value might not be necessary. However in a more recent study by Jafari et al, [1] they reported that variations exists between the measurements of the right and left wrists for ulnar variance, radial tilt of distal radius and radial inclination.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Radiologic Assessment of Angular Wrist Parameters of Asymptomatic Nigerians

Omadachi¹,

Gwunireama²,

E.O³

2017

aanat

View full text Add to dashboard Cite

Background: Radiographic techniques has availed anatomists the opportunity to study human bony structure in-vivo. Normative data can assist in defining and quantifying abnormalities. This study was carried out to establish normal angular wrist dimensions of adult Nigerians. Methods: A total of 100 standard lateral wrist x-rays were obtained from 50 (26 males [52%] and 24 females [48%]) adult Nigerians. Three (3) angular dimensions; radial tilt, capitolunate angle, and scapholunate angle were measured. Data were analysed using XLSTAT (Addinsoft Version 2015.4.01.21575). Student and paired sample t-test were used to evaluate sex, and side differences respectively. P<0.05 (at 95% confidence level) was taken to be significant. Results: The mean values for the measured angular parameters were as follows; right and left radial tilt (R&L-RT) = 14.06±2.46º, capitolunate angle (CLA) [R=17.48±1.72º, L=17.67±1.67º] and scapholunate angle (SLA) [R=43.70±3.60º, L=45.10±3.44º]. The radial tilt was observed to be identical in the left and right wrists, while the capitolunate and scapholunate angle were observed to be asymmetrical, with the left significantly greater than the right (P<0.01). All right and left wrist parameters were significant inter-predictors (r>0.75; P<0.01), while only the R & L-RT correlated with R-CLA (r>0.302; P<0.033) and L-CLA (r>0.347; P<0.013). Conclusion: It could be concluded that there was no sex difference in angular wrist parameters and asymmetry was observed. The variation in the arrangement of wrist bones in both hands could be associated with mechanical impact as a result of use and this must be taken into consideration when evaluating unilateral wrist diseases.

show abstract

“…How accurately this is achieved can be measured from radiographs by comparing the volar tilt angle, radial inclination angle, radial height, ulna variance, and articular step and gap deformities with published normal values. 44,[105][106][107][108] In this study no significant differences were found in final radial inclination angle and ulna variance between the 2 treatment arms. Data on step and gap deformities were not sufficient for pooling.…”

Section: Radiographic Outcomesmentioning

confidence: 49%

A Meta-Analysis of Outcomes of External Fixation Versus Plate Osteosynthesis for Unstable Distal Radius Fractures

Margaliot

Haase

Kotsis

et al. 2005

The Journal of Hand Surgery

208

133

View full text Add to dashboard Cite

Does the normal contralateral wrist provide the best reference for X-ray film measurements of the patholgoic wrist?

Cited by 46 publications

References 32 publications

Internal versus external fixation for unstable distal radius fractures: an up-to-date meta-analysis

Internal versus external fixation for unstable distal radius fractures: an up-to-date meta-analysis

Radiologic Assessment of Angular Wrist Parameters of Asymptomatic Nigerians

A Meta-Analysis of Outcomes of External Fixation Versus Plate Osteosynthesis for Unstable Distal Radius Fractures

Contact Info

Product

Resources

About