Radiological measurement parameters of distal radius and wrist measured on x-rays in the Turkish population

Abstract

OBJECTIVE The aim of our study was to analyze the radiologic morphometry of the distal radius and wrist to assess acceptable limits for restoring normal wrist function after fracture.METHODS Radiological measurement parameters were measured retrospectively on anteroposterior and lateral (LAT) wrist radiographs (n=981). Radiological measurement parameters were volar tilt, radial inclination, radial height, ulnar variance, radiocarpal angle, and volar angulation angle. The patients' age, gender, and side of the radiograph were recorded as demographic data.RESULTS The mean volar tilt angle was 15.4 +/- 4.3 degrees. The mean radial inclination angle in males was 26.8 +/- 3.6 degrees. The mean radial height was 13.6 +/- 2.1 mm. The mean ulnar variance was 0.8 +/- 1.9 mm. One hundred and eighty-nine patients had negative ulnar variances. The mean radiocarpal angle was 12.3 +/- 2.7. The mean volar angulation angle was 32.1 +/- 6.9 degrees. Radial height was found to be positively correlated with radial inclination (p<0.001; r: 601), but it was not significantly correlated with ulnar variance (p=0.14).CONCLUSION Distal radius fractures are one of the most common types of fractures. Radiological measurement parameters were used in the determination and follow-up of the treatment. The values obtained in this study belong to the Turkish population. These values may be used as reference values in determining the quality of reduction after fracture and in the design of suitable implants for fracture treatment.