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X-ray of distal radius fractures

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[[File:Collesfracture.jpg|thumb|Distal radius fracture]]
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===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 standard definition of dorsal or volar tilt, the parameter can be interpreted by clinicians as being in relation an alternative measure is a comparison to the ''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", and should therefore be specified as shown in reportwhich is contrary to the actual disease mechanism.</ref>
===Ulnar varianceRadial inclination===[[FileRadial inclination (also called ''radial angulation'') is the angle measured between:<ref>{{cite web|url=http:Ulnar variance//emedicine.medscape.jpgcom/article/398406-overview|title=Distal Radial Fracture Imaging|thumbauthor=Jack A Porrino, Jr|leftdate=2015-10-20|120pxaccessdate=2016-12-18|Ulnar variancewebsite=[[Medscape]]Ulnar variance is normally between -4 mm (ulna shorter than radius) and +2 mm (ulna longer than radius).}}</ref><ref>{{cite journal|last1url=http://www.ijoonline.com/article.asp?issn=Beumer|first10019-5413;year=2016;volume=Annechien|last250;issue=Adlercreutz|first26;spage=Catharina|last3610;epage=Lindau|first3615;aulast=Tommy RMishra|title=Early prognostic factors in Morphometry of distal end radius fractures in a younger than osteoporotic age groupthe Indian population: a multivariate analysis of trauma radiographsA radiological study|author1=Pankaj Kumar Mishra |journalauthor2=BMC Musculoskeletal DisordersManoj Nagar |volumeauthor3=14Suresh Chandra Gaur |issueauthor4=1Anuj Gupta |year=20132016|volume=50|issnissue=1471-24746|doijournal=10.1186/1471-2474-14-170Indian 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>
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 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
*If volar or dorsal tilt:
:*The degree thereof
:*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
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