X-ray of distal radius fractures - Revision history

Mikael Häggström: /* Report */ wording

2019-08-20T13:15:27Z

Report: wording

Mikael Häggström: Formatting

2019-07-17T14:10:41Z

Formatting

Mikael Häggström: /* Displacement */ Sometimes preferable

2019-07-17T14:09:30Z

Displacement: Sometimes preferable

Mikael Häggström: Expanded

2019-02-24T09:40:01Z

Expanded

Mikael Häggström: /* Displacement */ +Ulnar variance

2019-02-24T09:20:50Z

Displacement: +Ulnar variance

Mikael Häggström: /* Detection */ +Scaphoid

2019-01-30T17:57:06Z

Detection: +Scaphoid

Mikael Häggström: Templated

2019-01-30T17:55:43Z

Templated

Mikael Häggström: Mikael Häggström moved page X-ray of distal radius fracture to X-ray of distal radius fractures: Plural

2019-01-15T14:02:56Z

Mikael Häggström moved page X-ray of distal radius fracture to X-ray of distal radius fractures: Plural

Mikael Häggström: Spaced

2019-01-15T14:01:28Z

Spaced

Mikael Häggström at 08:37, 26 September 2018

2018-09-26T08:37:42Z

@@ Line 46: / Line 46: @@
 *If volar or dorsal tilt:
 :*The degree thereof
-:*That is it in comparison to the axial plane of radius (to avoid mixup with being in relation to the ''normal anatomical position'')
+:*That it is in comparison to the axial plane of radius (to avoid mixup with being in relation to the ''normal anatomical position'')
 *Other abnormal important features, if present
 <P>{{Reporting}}

@@ Line 28: / Line 28: @@
 ===Radial inclination===
 Radial inclination (also called ''radial angulation'') is the angle measured between:<ref>{{cite web|url=http://emedicine.medscape.com/article/398406-overview|title=Distal Radial Fracture Imaging|author=Jack A Porrino, Jr|date=2015-10-20|accessdate=2016-12-18|website=[[Medscape]]}}</ref><ref>{{cite journal|url=http://www.ijoonline.com/article.asp?issn=0019-5413;year=2016;volume=50;issue=6;spage=610;epage=615;aulast=Mishra|title=Morphometry of distal end radius in the Indian population: A radiological study|author1=Pankaj Kumar Mishra |author2=Manoj Nagar |author3=Suresh Chandra Gaur |author4=Anuj Gupta |year=2016|volume=50|issue=6|journal=Indian Journal of Orthopaedics}}</ref>
 #A line drawn between the distal ends of the articular surface of the radius on an AP view of the wrist.
 #A line that is perpendicular to the diaphysis of the radius.
 Radial inclination is normally 21-25°.<ref>[https://books.google.com/books?id=q3_EthzU3dcC&pg=PA783 Page 783] in: {{cite book|title=Diagnostic Imaging for the Emergency Physician|authors=Joshua Broder|publisher=Elsevier Health Sciences|year=2011|isbn=9781437735871}}</ref>
 ===Other important measures===
-[[File:Ulnar variance.jpg|thumb|'''Ulnar variance''': Normally between -4 mm (ulna shorter than radius) and +2 mm (ulna longer than radius).<ref name=Beumer2013>{{cite journal|last1=Beumer|first1=Annechien|last2=Adlercreutz|first2=Catharina|last3=Lindau|first3=Tommy R|title=Early prognostic factors in distal radius fractures in a younger than osteoporotic age group: a multivariate analysis of trauma radiographs|journal=BMC Musculoskeletal Disorders|volume=14|issue=1|year=2013|issn=1471-2474|doi=10.1186/1471-2474-14-170}}</ref>]]
+[[File:Ulnar variance.jpg|thumb|160px|'''Ulnar variance''': Normally between -4 mm (ulna shorter than radius) and +2 mm (ulna longer than radius).<ref name=Beumer2013>{{cite journal|last1=Beumer|first1=Annechien|last2=Adlercreutz|first2=Catharina|last3=Lindau|first3=Tommy R|title=Early prognostic factors in distal radius fractures in a younger than osteoporotic age group: a multivariate analysis of trauma radiographs|journal=BMC Musculoskeletal Disorders|volume=14|issue=1|year=2013|issn=1471-2474|doi=10.1186/1471-2474-14-170}}</ref>]]
 *Displacemen in other directions
 *Comminuted fracture, particularly if it has intra-articular involvement

@@ Line 20: / Line 20: @@
 ===Dorsal or volar tilt===
 [[File:Dorsal tilt.jpg|thumb|160px|Fracture with a dorsal tilt: Dorsal is left, and volar is right in the image.]]
-The dorsal or volar tilt can be described by an angle from the axial plane of the radius, and goes between:<ref name="Piva NetoLhamby2011">{{cite journal|last1=Piva Neto|first1=Antonio|last2=Lhamby|first2=Fabio Colla|title=Fixação das fraturas da extremidade distal do rádio pela técnica de kapandji modificada: avaliação dos resultados radiológicos|journal=Revista Brasileira de Ortopedia|volume=46|issue=4|year=2011|pages=368–373|issn=0102-3616|doi=10.1590/S0102-36162011000400004}}</ref>
+The dorsal or volar tilt can be described by an angle from the axial plane of the radius, going between:<ref name="Piva NetoLhamby2011">{{cite journal|last1=Piva Neto|first1=Antonio|last2=Lhamby|first2=Fabio Colla|title=Fixação das fraturas da extremidade distal do rádio pela técnica de kapandji modificada: avaliação dos resultados radiológicos|journal=Revista Brasileira de Ortopedia|volume=46|issue=4|year=2011|pages=368–373|issn=0102-3616|doi=10.1590/S0102-36162011000400004}}</ref>
 *A line drawn between the distal ends of the articular surface of the radius.
 *The axial plane of radius: Represented by a line that is perpendicular to the diaphysis of the radius.
 Sometimes, the diaphysis of the radius is hard to distinguish from the [[ulna]], and a line between them may be used instead.<ref>{{cite web|url=https://radiopaedia.org/articles/colles-fracture|title=Colles fracture|author=Dr Paresh K Desai|accessdate=2016-12-18|website=Radiopedia}}</ref>
-Although this is the standard definition of dorsal or volar tilt, the parameter can be interpreted by clinicians as being in relation to the ''normal anatomical position'' of the articular surface of radius (which normally has a volar tilt of 11° to 12°), and should therefore be specified as shown in report.
+Although this is generally the definition of dorsal or volar tilt, an alternative measure is a comparison to ''normal anatomical position'' of the articular surface of radius (which normally has a volar tilt of 11° to 12°). This is preferable to use in fractures with a dorsal tilt of up to 11° from normal anatomical position.<ref group="notes">Using the axial plane of the radius in such cases would result in a "volar tilt", which is contrary to the actual disease mechanism.</ref>
-===Other important features===
+===Radial inclination===
-Check if present or absent:
+[[File:Radial angulation.jpg|thumb|'''Radial inclination'''.<ref name=Beumer2013/>]]
 Radial inclination (also called ''radial angulation'') is the angle measured between:<ref>{{cite web|url=http://emedicine.medscape.com/article/398406-overview|title=Distal Radial Fracture Imaging|author=Jack A Porrino, Jr|date=2015-10-20|accessdate=2016-12-18|website=[[Medscape]]}}</ref><ref>{{cite journal|url=http://www.ijoonline.com/article.asp?issn=0019-5413;year=2016;volume=50;issue=6;spage=610;epage=615;aulast=Mishra|title=Morphometry of distal end radius in the Indian population: A radiological study|author1=Pankaj Kumar Mishra |author2=Manoj Nagar |author3=Suresh Chandra Gaur |author4=Anuj Gupta |year=2016|volume=50|issue=6|journal=Indian Journal of Orthopaedics}}</ref>
@@ Line 40: / Line 36: @@
 ===Other important measures===
 *Displacemen in other directions
 *Comminuted fracture, particularly if it has intra-articular involvement

@@ Line 1: / Line 1: @@
 {{Top
 |author1=[[User:Mikael Häggström|Mikael Häggström]]
@@ Line 20: / Line 19: @@
 ===Dorsal or volar tilt===
-[[File:Dorsal tilt of distal radius fracture.jpg|thumb|160px|Fracture with a dorsal tilt: Dorsal is left, and volar is right in the image.]]
+[[File:Dorsal tilt.jpg|thumb|160px|Fracture with a dorsal tilt: Dorsal is left, and volar is right in the image.]]
-The dorsal or volar tilt can be described by an angle from the axial plane of the radius, shown in <font color=red>red</font> in the image at right, and goes between:<ref name="Piva NetoLhamby2011">{{cite journal|last1=Piva Neto|first1=Antonio|last2=Lhamby|first2=Fabio Colla|title=Fixação das fraturas da extremidade distal do rádio pela técnica de kapandji modificada: avaliação dos resultados radiológicos|journal=Revista Brasileira de Ortopedia|volume=46|issue=4|year=2011|pages=368–373|issn=0102-3616|doi=10.1590/S0102-36162011000400004}}</ref>
+The dorsal or volar tilt can be described by an angle from the axial plane of the radius, and goes between:<ref name="Piva NetoLhamby2011">{{cite journal|last1=Piva Neto|first1=Antonio|last2=Lhamby|first2=Fabio Colla|title=Fixação das fraturas da extremidade distal do rádio pela técnica de kapandji modificada: avaliação dos resultados radiológicos|journal=Revista Brasileira de Ortopedia|volume=46|issue=4|year=2011|pages=368–373|issn=0102-3616|doi=10.1590/S0102-36162011000400004}}</ref>
 *A line drawn between the distal ends of the articular surface of the radius.
 *The axial plane of radius: Represented by a line that is perpendicular to the diaphysis of the radius.
-Sometimes, the diaphysis of the radius is hard to distinguish from the [[ulna]], and a line between them (<font color="turquoise">turquoise line</font>) may be used instead.<ref>{{cite web|url=https://radiopaedia.org/articles/colles-fracture|title=Colles fracture|author=Dr Paresh K Desai|accessdate=2016-12-18|website=Radiopedia}}</ref>
+Sometimes, the diaphysis of the radius is hard to distinguish from the [[ulna]], and a line between them may be used instead.<ref>{{cite web|url=https://radiopaedia.org/articles/colles-fracture|title=Colles fracture|author=Dr Paresh K Desai|accessdate=2016-12-18|website=Radiopedia}}</ref>
 Although this is the standard definition of dorsal or volar tilt, the parameter can be interpreted by clinicians as being in relation to the ''normal anatomical position'' of the articular surface of radius (which normally has a volar tilt of 11° to 12°), and should therefore be specified as shown in report.
 ===Other important features===
 Check if present or absent:
 *Displacemen in other directions
 *Comminuted fracture, particularly if it has intra-articular involvement
@@ Line 42: / Line 48: @@
 :*The degree thereof
 :*That is it in comparison to the axial plane of radius (to avoid mixup with being in relation to the ''normal anatomical position'')
-*Other important features, if present
+*Other abnormal important features, if present
 <P>{{Reporting}}

@@ Line 20: / Line 20: @@
 ===Dorsal or volar tilt===
-[[File:Dorsal tilt of distal radius fracture.jpg|thumb|Fracture with a dorsal tilt: Dorsal is left, and volar is right in the image.]]
+[[File:Dorsal tilt of distal radius fracture.jpg|thumb|160px|Fracture with a dorsal tilt: Dorsal is left, and volar is right in the image.]]
 The dorsal or volar tilt can be described by an angle from the axial plane of the radius, shown in <font color=red>red</font> in the image at right, and goes between:<ref name="Piva NetoLhamby2011">{{cite journal|last1=Piva Neto|first1=Antonio|last2=Lhamby|first2=Fabio Colla|title=Fixação das fraturas da extremidade distal do rádio pela técnica de kapandji modificada: avaliação dos resultados radiológicos|journal=Revista Brasileira de Ortopedia|volume=46|issue=4|year=2011|pages=368–373|issn=0102-3616|doi=10.1590/S0102-36162011000400004}}</ref>
 *A line drawn between the distal ends of the articular surface of the radius.
@@ Line 27: / Line 27: @@
 Although this is the standard definition of dorsal or volar tilt, the parameter can be interpreted by clinicians as being in relation to the ''normal anatomical position'' of the articular surface of radius (which normally has a volar tilt of 11° to 12°), and should therefore be specified as shown in report.
 ===Other important features===

@@ Line 12: / Line 12: @@
 ==Detection==
 {{Fracture detection on X-ray}}
 {{X-ray of fractures in children}}

@@ Line 9: / Line 9: @@
 ==Quality checking==
 The radius should form the contour dorsally in order to better detect even undisplaced fractures.
 ==Displacement==

← Older revision	Revision as of 14:02, 15 January 2019
(No difference)

@@ Line 4: / Line 4: @@
 |author2=
 }}
 In projectional radiography ("X-ray") of a distal radius fracture, the most important findings are displacement and whether there is intra-articular involvement.

@@ Line 1: / Line 1: @@
 [[File:Collesfracture.jpg|thumb|Distal radius fracture]]
-{{Authors
+{{Top
 |author1=[[User:Mikael Häggström|Mikael Häggström]]
 |author2=
@@ Line 36: / Line 36: @@
 *[[X-ray of fractures]]
-==References==
+{{Bottom}}