The use of plain radiographs in the classification of distal radius fractures

Evans, Sharon; David, Michael; Quraishi, Mohammed Kamil; Hanif, Umar-Khetaab; Sadique, Hammad; Machani, Bhuvneswar

doi:10.1016/j.jor.2014.06.008

Cited by 5 publications

(3 citation statements)

References 15 publications

(21 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…According to Küçük et al, 22 the classification systems for evaluating fractures of the distal extremity of the radius presented inconsistent results and they suggested that there was a need to create new classifications. In the study by Evans et al, 29 , 30 the sensitivity of radiographs for making classifications using the Frykman and AO systems was only 12.5%. These authors stated that evaluations using radiographs alone were insufficient and suggested that there was a need for other types of examinations in order to increase the reliability and reproducibility, as we found in the presented study, in which we achieved good concordance using the universal and AO classification systems.…”

Section: Discussionmentioning

confidence: 94%

Statistical analysis on the concordance of the radiological evaluation of fractures of the distal radius subjected to traction

Machado

Lima

Mathias

et al. 2016

Revista Brasileira de Ortopedia (English Edition)

View full text Add to dashboard Cite

ObjectiveThe objective of this study was to evaluate the current classifications for fractures of the distal extremity of the radius, since the classifications made using traditional radiographs in anteroposterior and lateral views have been questioned regarding their reproducibility. In the literature, it has been suggested that other options are needed, such as use of preoperative radiographs on fractures of the distal radius subjected to traction, with stratification by the evaluators. The aim was to demonstrate which classification systems present better statistical reliability.ResultsIn the Universal classification, the results from the third-year resident group (R3) and from the group of more experienced evaluators (Staff) presented excellent correlation, with a statistically significant p-value (p < 0.05). Neither of the groups presented a statistically significant result through the Frykman classification. In the AO classification, there were high correlations in the R3 and Staff groups (respectively 0.950 and 0.800), with p-values lower than 0.05 (respectively <0.001 and 0.003).ConclusionIt can be concluded that radiographs performed under traction showed good concordance in the Staff group and in the R3 group, and that this is a good tactic for radiographic evaluations of fractures of the distal extremity of the radius.

show abstract

Section: Discussionmentioning

confidence: 94%

Statistical analysis on the concordance of the radiological evaluation of fractures of the distal radius subjected to traction

Machado

Lima

Mathias

et al. 2016

Revista Brasileira de Ortopedia (English Edition)

View full text Add to dashboard Cite

show abstract

“…First, this is a retrospective study, which has its drawbacks such as selection bias and limited clinical data. Second, due to lack of a very good or excellent inter- and intra-observer reproducibility in the existing classifications of distal radius fractures [23], AO subclassifications based on X-ray and/or CT scans may also have inconsistencies, leading to changes in our conclusion. Ma et al described that X-ray results might be false negative in diagnosis of die-punch fracture.…”

Section: Discussionmentioning

confidence: 98%

Influence of distal radius fractures involving the intermediate column on forearm rotation

2019

View full text Add to dashboard Cite

Background The objective of the study was to compare the radiologic and clinical outcome of patients with distal radius fractures involving the intermediate column and distal radial metaphyseal fractures treated conservatively. Methods Two cohorts of 52 matched patients with distal radius fractures treated conservatively, one with a fracture involving the intermediate column and the other with no intermediate column fracture, were retrospectively analyzed by examining the data. Patients were matched for age, sex, fracture side, and AO fracture type. The two groups were analyzed for differences in wrist motion; grip strength; Gartland and Werley score; Disabilities of the Arm, Shoulder and Hand (DASH) score; and visual analogue scale (VAS) score at 12 months. The differences in continuous variables were compared using the paired t test. Linear regression analyses or Pearson correlation analyses were used to evaluate the associations of radiological parameters with clinical outcomes. Results The analysis showed significant differences in the range of motion (ROM) for pronation ( p = 0.000) and supination ( p = 0.008) in the paired groups. There was a significant difference in DASH scores ( p = 0.024) in the paired groups. Using Pearson correlation analysis, negative correlations ( r = − 0.360, p = 0.000) were observed between articular step-off and ROM for pronation. Linear regression analyses also indicated that ROM for pronation had negative relationships ( β = − 6.327, p = 0.001) with articular step-off. Conclusions Distal radius fractures involving the intermediate column had an adverse effect on forearm rotation after distal radius fractures treated conservatively.

show abstract

“…1 Organizing fractures into widely recognized classifications is important for determining and planning treatment options. 2 A number of authors have attempted to simplify the current classification systems available, despite the challenges of obtaining excellent reliability, guaranteeing ideal treatment and predicting prognoses. 3 …”

Section: Introductionmentioning

confidence: 99%

Proposal Tomographic Classification for Intra-Articular Distal Radius Fractures

et al. 2018

View full text Add to dashboard Cite

Objective:The objective of this study was to present a proposal tomographic classification for intra-articular distal radius fractures. Methods:This descriptive study was based on observing tomographic images from 74 patients with distal radius fractures. The cases were grouped by similarity according to the presence of several parameters which determine fracture complexity; the results of the descriptive analysis were transcribed as tomographic classification. Results:The proposal tomographic classification for intra-articular distal radius fractures comprised three major groups and nine sub-groups, which are organized by increasing severity according to the presence of spacing between articular fragments, angulation, loss of radial height, cortical depression, and associated dislocation. Conclusion:This proposal tomographic classification for intra-articular distal radius fractures can help professionals indicate therapeutic options. Level of Evidence IV; Case series.

show abstract

The use of plain radiographs in the classification of distal radius fractures

Abstract: Sensitivity of radiographs to classify Frykman or AO grades was 12.5%, indicating interpretation using plain radiographs alone is often inadequate.

Cited by 5 publications

References 15 publications

Statistical analysis on the concordance of the radiological evaluation of fractures of the distal radius subjected to traction

Statistical analysis on the concordance of the radiological evaluation of fractures of the distal radius subjected to traction

Influence of distal radius fractures involving the intermediate column on forearm rotation

Proposal Tomographic Classification for Intra-Articular Distal Radius Fractures

Contact Info

Product

Resources

About