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[[File:Collesfracture.jpg|thumb|Distal radius fracture]]{{AuthorsTop
Although this Radial inclination is the standard definition of dorsal or volar tilt, the parameter can be interpreted by clinicians as being normally 21-25°.<ref>[https://books.google.com/books?id=q3_EthzU3dcC&pg=PA783 Page 783] in relation to : {{cite book|title=Diagnostic Imaging for 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.Emergency Physician|authors=Joshua Broder|publisher=Elsevier Health Sciences|year=2011|isbn=9781437735871}}</ref>
==References=={{reflistBottom}}
→Report: wording
|author1=[[User:Mikael Häggström|Mikael Häggström]]
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In projectional radiography ("X-ray") of a distal radius fracture, the most important findings are displacement and whether there is intra-articular involvement.
==Quality checking==
The radius should form the contour dorsally in order to better detect even undisplaced fractures.
==Detection==
{{Fracture detection on X-ray}}
In particular, also look at the scaphoid bone (see [[X-ray of scaphoid fractures|X-ray of scaphoid fractures]])
{{X-ray of fractures in children}}
==Displacement==
===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.]]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 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 (<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> 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> ===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:en//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:RadiopediaA radiological study|author1=Pankaj Kumar Mishra |author2=Manoj Nagar |author3=Suresh Chandra Gaur |author4=Anuj Gupta |year=2016|volume=50|issue=6|Radiopedia]]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.<gallery>File:Radial angulation.jpg|'''Radial inclination'''.<ref name=Beumer2013/></gallery>
===Other important featuresmeasures===Check if present or absent[[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
==Report==
*Any If volar or dorsal or volar tilt, the ::*The degree thereof, and that :*That it is it 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}}
==See also==
*[[X-ray of fractures]]
