Radial shaft fracture obliquity as a predictor of distal radioulnar joint instability

The Journal of Hand Surgery, European Volume
Benjamin T K DingSreedharan Sechachalam

Abstract

We assessed whether radial shaft fracture obliquity measurements on radiographs could predict intra-operative distal radioulnar joint instability. We also clinically validated previously described predictors of distal radioulnar joint instability, which included a fracture line within 7.5 cm of the lunate fossa, radial shortening >5 mm, and ulna styloid fracture. We retrospectively analysed the radiographs of all surgically managed patients in our unit with radial shaft fractures from 2006 through 2016. The degree of obliquity was analysed on the basis of the maximum fracture-line angle in either the coronal or the sagittal plane. A radial shaft fracture obliquity >30° is predictive of distal radioulnar joint instability ( P = 0.001). Radial fracture shaft obliquity >30° was the most sensitive radiological parameter (76%) for predicting distal radioulnar joint instability. Oblique radial shaft fractures appear to be associated with increased incidence of distal radioulnar joint instability. This radiologic parameter may be used together with established parameters in predicting distal radioulnar joint instability for surgical treatment. III.

References

May 1, 1991·Hand Clinics·L H Schneider, J E Imbriglia
Jul 1, 1989·The Journal of Hand Surgery·C M Steyers, W F Blair
Jan 1, 1974·Calcified Tissue Research·J D Currey, K Brear
Jul 1, 1994·Journal of Biomechanics·A AscenziA Benvenuti
Feb 1, 1993·The Journal of Trauma·W A Eglseder, M Hay
Apr 3, 2001·The Journal of Hand Surgery·M E Rettig, K B Raskin
Aug 1, 2006·The Journal of Bone and Joint Surgery. British Volume·M Ramachandran, D M Eastwood
Jun 6, 2007·Hand Clinics·Filippos S Giannoulis, Dean G Sotereanos
Jun 4, 2008·The Journal of Bone and Joint Surgery. American Volume·Kadir Bahadir AlemdaroğluDoğan Atlihan
Dec 23, 2008·AJR. American Journal of Roentgenology·Thomas Magee
Oct 19, 2010·Hand Clinics·Brian T CarlsenSteven L Moran
Oct 8, 2011·The Journal of the American Academy of Orthopaedic Surgeons·Kivanc I AtesokArnold-Peter C Weiss
Nov 19, 2011·Scandinavian Journal of Medicine & Science in Sports·A Roberts, A Franklyn-Miller
Jun 7, 2012·Clinical Orthopaedics and Related Research·Bong Cheol KwonGoo Hyun Baek
Jun 8, 2012·The Open Orthopaedics Journal·Mme WijffelsIb Schipper
Aug 31, 2013·Journal of Orthopaedics and Traumatology : Official Journal of the Italian Society of Orthopaedics and Traumatology·Richelle TakemotoKenneth A Egol
Jun 27, 2014·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Akio IidaYasuhito Tanaka
Apr 15, 2016·The Journal of Hand Surgery, European Volume·Jin Bo Tang, Grey Giddins
May 4, 2016·Injury·Tony Tsismenakis, Paul Tornetta
Jun 30, 2016·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Tadanobu OnishiYasuhito Tanaka
Jan 7, 2017·The Journal of Hand Surgery, European Volume·R H van LeerdamI B Schipper

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Journal of Orthopaedics and Traumatology : Official Journal of the Italian Society of Orthopaedics and Traumatology
Richelle TakemotoKenneth A Egol
Instructional Course Lectures
B D Adams
Magyar traumatológia, orthopaedia és helyreállító sebészet
G DósaL Nyirády
The Journal of Bone and Joint Surgery. American Volume
Robert M Szabo
© 2022 Meta ULC. All rights reserved