Radiographic Morphometry Of Distal End Of Radius, A Retrospective, Observational Study In Indian Population
Journal Title: International Journal of Orthopaedics Traumatology & Surgical Sciences - Year 2018, Vol 4, Issue 2
Abstract
Background: Distal end of radius fracture is a common fracture due to fall on outstretched hand (15 per 100 fracture patients). Reduction of this fracture is generally assessed by four morphometric measurements of the distal radius. These are radial height, radial inclination, ulnar variance and palmar tilt. These morphometric measurements also play important role in radio carpal, radio-ulnar pathologies and wrist osteotomies. These measurements are calculated intra-operatively or postoperatively on a radiograph or a image intensifier image. We aimed to calculate mean radiographic measurements of all 4 parameters in Indian population. Materials and methods: This is retrospective, unicentric, observational, analytic study. We studied 212 normal wrist posteroanterior and lateral radiographs from our hospital radiology data, and calculated these 4 morphometric measurements using default workstation (AGFA) in computer console. The data entered in Microsoft Excel sheet and Standard calculations were done. Mean measurement values were analyzed statistically between the groups. Results: The average radial height is 12.09mm(+_1.52mm) with range from 9.1mm to 16.7mm, radial inclination is 25.77 degree(+-2.91 degree) range from 21degree-33degree, ulnar variance -1.16mm(+-1.48mm) range from -4.9mm to 2.1mm is and palmar tilt is 11.58degree(+-2.37degree) range from 4degree to 17degree. Conclusion: These can be used as a reference measurement for treating the fracture distal radius in Indian population. Radial inclination is higher in our data, Ulnar variance is more towards negative ulnar variance. Palmer tilt and radial height are comparable to the western population.
Authors and Affiliations
deepak tambe, Arvind Goregaonkar, Binoti Sheth, Jayesh Pawar
Keywords
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