Investigation of radiolunate relations in normal and fractured wrists

Hand Surgery : an International Journal Devoted to Hand and Upper Limb Surgery and Related Research : Journal of the Asia-Pacific Federation of Societies for Surgery of the Hand
M R BroadbentA J Johnstone

Abstract

As the distal radius fracture is one of the most commonly encountered upper limb injuries, the aim of this study was to provide a quick and easy method to aid in the assessment of fractured wrists, both pre- and post-fixation, by utilising the relationship of the radial shaft and the lunate. A retrospective analysis on 100 consecutive patients with normal wrist radiographs was performed. The results demonstrated that the variations of radiolunate anatomy followed a normal distribution. The normal anatomical relationship was then described. A second part to the study consisted of reviewing our method of radiocarpal analysis on a cohort of patients who had sustained a distal radius fracture. Carpal alignment pre- and post-fixation was measured, with the results demonstrating that by using this assessment method, it was possible with a quick glance of the radiograph, to determine whether satisfactory correction of the fracture had been achieved.

References

Jun 1, 1992·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·F A MannL A Gilula
May 3, 2001·Swiss Surgery = Schweizer Chirurgie = Chirurgie Suisse = Chirurgia Svizzera·C SommerA Leutenegger
Jun 9, 2005·The Journal of the American Academy of Orthopaedic Surgeons·Arvind D NanaDavid M Lichtman

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Citations

Nov 20, 2016·The Journal of Hand Surgery, European Volume·G MedlockA J Johnstone

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