Radiographic Study of Distal Radius Parameters in Patients Visiting Tertiary Care Hospital

Abstract

Background The important morphological parameters of distal radius namely palmar tilt, radial inclination, radial height and ulnar variance are consequential in the evaluation and management of the distal radius fracture, distal radius plate design and kinesiology. Correction of these parameters in anatomical alignment is important to restore the normal biomechanics of the wrist joint.
 Objective To ascertain the distal radius parameters in the patients attending tertiary care hospital with regard to gender and age.
 Method The wrist radiographs (postero-anterior and lateral views) of 125 patients, from 16 to above 60 years of age were used to determine the four parameters of distal radius. The subjects were divided into gender and three different age groups (16-36 years, 37-57 years and > 57 years). Independent t-test and ANOVA test was used for statistical analysis with level of significance set at p ≤ 0.05.
 Result The mean palmar tilt was 15.69 ± 4.84° (p-value = 0.40). The mean radial inclination was 22.58 ± 2.82° (p-value = 0.88). The mean value of radial height was 10.31 ± 1.59 mm (p-value= 0.001). Positive ulnar variance were recorded in maximum of subjects (46.40%) and the least was neutral (16.80%).
 Conclusion The distal radius parameters of our population were similar to the Orthopedic Trauma Association standard reference value. And there was significant difference in radial height between males and females.

Assessment of the reliability and validity of some anthropometric dimensions at the distal epiphyseal ends of radius and ulna for gender identification using Magnetic Resonance Imaging among a sample of the Egyptian population - A retrospective study

“…Jongmuenwai et al (2021) confirmed the validity of RDEW as a sex discriminator for the Thai population with an accuracy of (89.5%). The effectiveness of RH for sex differentiation was assessed by Shrestha et al (2022) and Nalbant et al (2022) who studied 125 patients' wrist radiographs, they discovered that males had significantly higher RH mean values than females.…”

“…Tested dimensions: 1) Two distal radial dimensions: the radial distal end width (RDEW) which is the greatest distance between the most medial and lateral points on the distal epiphysis of the radius (Jongmuenwai et al, 2021). The radial height (RH) defined as the distance between the horizontal line at the level of the lunate fossa, which is perpendicular to the radius' axis, and the horizontal line at the level of the radial styloid process, which is also perpendicular to the radius' axis (Shrestha et al, 2022). 2) Two distal ulnar dimensions: the ulnar distal end width (UDEW) defined as the largest ulnar width at its distal end (Monum et al, 2021).…”

Diabetic Retinopahty: Knowledge, Attitude and Practice

“…Various literature from hospital based study report a prevalence of diabetic retinopathy ranging from 19% to as high as 78%. 10,19,20,21 The global prevalence of DR was reported to be 34.6%. 22 Our study contradicts the findings of other reports where prevalence of DR was higher in hospital based studies which is attributed to the diabetic patients reporting to the retina department owing to visual complains.…”