Measurement of Malrotation on Direct Radiography in Pediatric Distal Radius Fractures

Duymuş, Tahir Mutlu; Mutlu, Serhat; Kömür, Baran; Mutlu, Harun; Yücel, Bülent; Parmaksizoglu, Atilla Sancar

doi:10.1097/md.0000000000003569

Cited by 2 publications

(1 citation statement)

References 32 publications

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“…Due to the easy accessibility of plain radiographs, being a simple method, and not requiring an additional examination for measurement due to its routine use in the first place in fracture follow-up, their use in the calculation of rotational measurements after pediatric bone fractures has become increasingly common in recent years. There are studies using direct roentgenograms to calculate rotational deformities after pediatric supracondylar humerus fractures and after pediatric distal radius fractures [20,21].…”

Section: Discussionmentioning

confidence: 99%

Effect of rotational deformities after pediatric femoral fracture on clinical outcome

Igrek

Akgülle

Kesimer

2020

Journal of Pediatric Orthopaedics B

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Femoral shaft fractures are the most common pediatric injuries that require hospitalization. Early closed reduction and spica casting are one of the most popular treatment options. One of the significant complications of spica casting is rotational deformities of the fracture. The present study aimed to determine the potential effects of rotational deformities in pediatric patients who underwent early spica casting after a femoral shaft fracture. Pediatric patients who underwent early spica casting following femoral shaft fractures were screened retrospectively. Radiological measurements were made on the patients' initial postop radiographs who could be measured rotationally according to the defined radiological method. Twenty-three patients with more than 10° of rotation in their measurements were included in the study. Differences in leg length and rotation between both legs were calculated with clinical examination methods for all patients in the study. The gaits of the patients were observed; patient and family complaints were obtained. We found a strong and positive correlation between the rotational measurement made on the X-ray and the clinical measurement (R: 0.634, P: 0.001). For measurements made on X-ray, the mean rotational value was calculated as 27.2 ± 6.9 degrees. After the patients' clinical examination, an average of 3.0 ± 1.7 degrees rotational difference was found between the broken limb and the healthy limb. No patient or family complained of trauma. Early spica casting, according to the age of the patient, is an effective treatment method. There may still be certain degrees of deformity after treatment, but patients well tolerate them even at high degrees. Accordingly, it was concluded that the rotational deformities less than 30 degrees would not cause clinical problems on children under 4 years of age which may require postoperative revisions or the use of various costly imaging techniques and include radiation.

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Section: Discussionmentioning

confidence: 99%

Effect of rotational deformities after pediatric femoral fracture on clinical outcome

Igrek

Akgülle

Kesimer

2020

Journal of Pediatric Orthopaedics B

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Correlation of the radial inclination angle in the distal part of the radius with the volar cortical angle and age-related changes of these angles

Yazıbaşı¹,

Pekmez²,

Ağır³

et al. 2023

VOJNOSANIT PREGL

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Background/Aim. The radial inclination (RI) and volar cortical (VC) angle values used in the treatment of radial distal end fractures may vary depending on factors such as the age and sex of the patient. This puts up the question of how compatible can be the standard anatomical plates, which are frequently used in surgical treatment of these fractures. This study was aimed to evaluate VC and RI angles depending on age and gender of subjects and to determine the correlation between these two angles. Methods. A total of 121 individuals, 59 females and 62 male, adolescents and adults aged between 10-65 yrs, were included in the study. The individuals were divided into two groups: a group of 60 adolescents (31 female,29 males), the age was 10- 20 yrs, and a group of 61 adults (28 females,33 males) aged 20-65 yrs. The subjects were also evaluated between themselves, independently, within each age group. Radiographic images were evaluated by using the 3.0.1.55 version of the KarPacsViewer application. Measurement points were determined, and angles between these points were measured. Statistical analyzes were made using the SPSS 15.0 program. Results. When the correlation for 121 individuals was assessed independently of their sex, no statistically significant relationship was found between RI angle and age (p=0.616; r=-0.046). A statistically negative (or opposite) relationship was found between VC angle and age (p<0.001; r=-0.396). When women and men were compared in terms of RI and VC angles, no statistically significant difference was found (p=0.958; p=0,165, respectively). VC angle decreased as the age increased in females (p = 0.004; r=-0.365), while both the RI and VC angles decreased with increasing age in males ( p= 0.032, r=-0,273; p<0.0001, r=-0,445, respectively). Conclusion. In conclusion, our findings regarding RI and VC angles offer an advantage in terms of determining which plate designs are most appropriate in planning surgical procedures and treatment processes.

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Measurement of Malrotation on Direct Radiography in Pediatric Distal Radius Fractures

Cited by 2 publications

References 32 publications

Effect of rotational deformities after pediatric femoral fracture on clinical outcome

Effect of rotational deformities after pediatric femoral fracture on clinical outcome

Correlation of the radial inclination angle in the distal part of the radius with the volar cortical angle and age-related changes of these angles

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