RELIABILITY OF DIFFERENT METHODS OF DETERMINATION OF RADIAL SHORTENING

被引:9
作者
BILIC, R
RUZIC, L
ZDRAVKOVIC, V
BOLJEVIC, Z
KOVJANIC, J
机构
[1] Department of Orthopaedic Surgery, School of Medicine, University of Zagreb
关键词
D O I
10.1016/S0266-7681(05)80025-7
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Assessment of the grade of deformity after fracture of the distal end of the radius demands an accurate method of determination of radial shortening. Radiographs of 50 patients with malunited Colles' fractures were analyzed in order to find the method which is least affected by changes in ulnar and palmar tilt. Two new landmarks, the centre-point in the distal articular surface of the radius and the capitate vertex, are introduced as possible new landmarks for radial shortening determination, Results derived from commonly used methods and the new method are compared and analyzed. These show that radial shortening measured according to the commonly used landmarks is greatly affected by changes in ulnar and palmar tilt, leading to errors. Shortening measured by the two new landmarks gives results that are less influenced by rotation of the distal fragment in the frontal and sagittal planes.
引用
收藏
页码:97 / 101
页数:5
相关论文
共 13 条
[1]  
ABBASZADEGAN H., JONSSON U., VON SIVERS K., Prediction of instability of Colles’ fractures, Acta Orthopaedica Scandinavica, 60, 6, pp. 646-650, (1989)
[2]  
ALTISSIMI M., ANTENUCCI R., FIACCA C., MANCINI G.B., Long-term results of conservative treatment of fractures of the distal radius, Clinical Orthopaedics and Related Research, 206, pp. 202-210, (1986)
[3]  
BILIC R., ZDRAVKOVIC V., BOLJEVIC Z., Osteotomy for deformity of the radius: Computer-assisted three-dimensional modelling, Journal of Bone and Joint Surgery, 76B, 1, pp. 150-154, (1994)
[4]  
FRIBERG S., LUNDSTROM B., Radiographic measurements of the radio-carpal joint in normal adults, Acta Radiologica Diagnostics, 17, 2, pp. 249-256, (1976)
[5]  
JENKINS N.H., JONES D.G., JOHNSON S.R., MINTOWT-CZYZ W.J., External fixation of Colles’ fractures: An anatomical study, Journal of Bone and Joint Surgery, 69B, 2, pp. 207-211, (1987)
[6]  
KRISTENSEN S.S., THOMASSEN E., CHRISTENSEN F., Ulnar variance determination, Journal of Hand Surgery, 11B, 2, pp. 255-257, (1986)
[7]  
NATTRASS G.R., KING G.J.W., McMURTRY R.Y., BRANT R.F., An alternative method for determination of the carpal height ratio, Journal of Bone and Joint Surgery, 76A, 1, pp. 88-94, (1994)
[8]  
PALMER A.K., GLISSON R.R., WERNER F.W., Ulnar variance determination, Journal of Hand Surgery, 7, 4, pp. 376-379, (1982)
[9]  
ROESGEN M., HIERHOLZER G., Corrective osteotomy of the distal radius after fracture to restore the function of wrist joint, forearm, and hand, Archives of Orthopaedic and Traumatic Surgery, 107, pp. 301-308, (1988)
[10]  
STAHELIN A., PFEIFFER K., SENNWALD G., SEGMULLER G., Determining carpal collapse: An improved method, Journal of Bone and Joint Surgery, 71A, 9, pp. 1400-1405, (1989)