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2006, Number 5

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Cir Cir 2006; 74 (5)

Radiographic measurements of the wrist in healthy Mexicans

Franco-Valencia M, Torres-González R, Fuentes-Figueroa S

Language: Spanish
References: 36
Page: 335-342
PDF size: 102.70 Kb.


ABSTRACT

Background: We undertook this study to determine normal radiographic measurements of the wrist in healthy Mexican persons.
Methods: We performed 112 roentgenograms of healthy wrists, 56 left wrists and 56 right wrists, in normal adults with Mexican parents and grandparents who were born in Mexico. We made two projections: frontal and lateral views of the wrist sing a standard technique. Not included in the study were subjects with a history of wrist trauma, fractures or deformities. The measurement was done by two observers blinded to the study. We measured ulnar lengths, radial angulation, volar shift, volar tilt and dorsal shift.
Results: We found a mean in radial angulation of 36.5o ± 4.62o, dorsal shift 22.84 mm ± 3.23 mm, ulnar lengths –1.13 mm ± 2.61 mm, radial tilt 17.98° ± 2.25° and volar shift of 19.3 mm ± 9.3mm. No significant difference between the left and right wrist or in the dominant wrist was found. We found a correlation between radial angulation, radial tilt and dorsal shift, and the height with the dorsal shift. There were significant differences among men and women in the radial angulation, dorsal shift and volar shift.
Conclusions: There were differences in the radial angulation and radial tilt with respect to values reported in the U.S. and Sweden. In the ulnar lengths there were difference with respect to the values reported in Taiwan and Japan. Information regarding normal values in wrist measurements could be used as the normal reference value for the evaluation of surgical management and follow-up of the wrist.


REFERENCES

  1. Törnvall AH, Ekenstam FAF, Hagert CG, Irstam L. Radiologic examination and measurement of the wrist and distal radio-ulnar joint. Acta Radiol Diag 1986;27:581-587.

  2. 2.McMurty RY, Jupiter JB. Fractures of the distal radius. In: Browner BD, Jupiter JB, Levine AM, Trafton PG, eds. Skeletal Trauma. Philadelphia: WB Saunders Company;1992. pp. 1063-1094.

  3. Gellman H. Fracture of the distal radius. American Academy of Orthopaedic Surgeons Monogr. series. Rosemont IL: American Academy of Orthopaedic Surgeons;1998.

  4. Ark J, Jupiter LB. The rationale for precise management of distal radius fractures.Orthop Clin North Am 1993;24:205-210.

  5. Zanetti M, Gilula LA, Jacob HAC, Hodler J. Palmar tilt of the distal radius: influence of lateral projection¾initial observations. Radiology 2001;220:594-600.

  6. Porter M, Stockley I. Fractures of the distal radius. Clin Orthop 1987;220:241-251.

  7. Júpiter JB, Fernández DL. Comparative classification for fractures of the distal end of the radius. J Hand Surg 1997;22A:563-571.

  8. Peltier LF. Fractures of the distal end of the radius. Clin Orthop 1984;187:18-22.

  9. Rodríguez-Merchan CE. Management of comminuted fractures of the distal radius in the adult. Clin Orthop 1998;353:53-62.

  10. Mann FA, Wilson AJ, Gilula LA. Radiographic evaluation of the wrist: what does the hand surgeon want to know? Radiology 1992;184:15-24.

  11. Belsole RJ. Radiography of the wrist. Clin Orthop 1986;202:50-56.

  12. 12.Yang Z, Mann FA, Gilula LA, Haerr C, Larsen CF. Scaphopisocapitate aligment: criterion to establish a neutral lateral view of the wrist. Radiology l997;205:865-869.

  13. Friberg S, Lundström B. Radiographic measurements of the radio-carpal joint in normal adults. Acta Radiol Diagn (Stockh) 1976;17:249-256.

  14. Friberg S, Lundström B. Radiographic measurements on the radio-carpal joint in distal radial fractures. Acta Radiol Diagn (Stockh) 1976;869-875.

  15. Rubinovich RM, Rennie WR. Colles’ fracture: end results in relation to radiologic parameters. Can J Surg 1983;26:361-363.

  16. Jenkins NH, Jones DG, Jonson SR, Mintow-Czyz WJ. External fixation of Colles’ fractures. J Bone Joint Surg 1987;69:207-211.

  17. 17.Van der Linden W, Ericson R. Colles’ fractures. How should its displacement be measured and how should it be immobilized? J Bone Joint Surg 1981;63A:1285-1288.

  18. Altissimi M, Antenucci R, Fiacca C, Mancini GB. Long-term results of conservative treatment of fractures of the distal radius. Clin Orthop Rel Res 1986;206:202-210.

  19. Hafner R, Poznanski AK, Donovan JM. Ulnar variance in children: standard measurements for evaluation of ulnar shortening in juvenile rheumatoid arthritis, hereditary multiple exostosis and other bone or joint disorders in childhood. Skeletal Radiol 1989;18:513-516.

  20. Mikic ZD. Detailed anatomy of the articular disc of the distal radioulnar joint. Clin Orthop Rel Res 1989;14:607-612.

  21. Kristensen SS, Thomassen E, Christensen F. Ulnar variance determination. J Hand Surg (Br) 1986;11:255-257.

  22. Chen WS, Shih CH. Ulnar variance and Kienböck’s disease: an investigation in Taiwan. Clin Orthop Rel Res 1990;255:124-127.

  23. Schuind FA, Alemzadeh S, Stallenberg B. Does the normal contralateral wrist provide the best reference for X-ray film measurements of the pathologic wrist? J Hand Surg 1996;21:24-30.

  24. Hardy DC, Totty WG, Reinus WR, Gilula LA. Posteroanterior wrist radiography: importance of arm positioning. J Hand Surg 1987;12A:504-508.

  25. Schuind FA, Linsched RL, An K, Chao EYS. A normal data base of posteroanterior roentgenographic measurements of the wrist. J Bone Joint Surg 1992;74-A:1418-1429.

  26. Schuind FA, Donkerwolcke M, Rasquin C, Burny F. External fixation of fractures of the distal radius: a study of 225 cases. J Hand Surg 1989;14A:404-407.

  27. Johnson PG, RM Szabo RM. Angle measurements of the distal radius: a cadaver study. Skeletal Radiol 1993;22:243-246.

  28. Kreder HJ, Hanel DP. X-ray measurements for healed distal radius fractures. J Hand Surg 1996;21A:31-38.

  29. DiBenedetto MR, Lubbers LM, Coleman CR. Relationship between radial inclination angle and ulnar deviation of the fingers. J Hand Surg 1991;16A:36-39.

  30. 30.Taleisnik J. Radiographic Examination of the Wrist. New York: Churchill Livingstone;1985. pp. 79-104.

  31. 31.Tanaka Y. Study of ulnar variance. J Japanese Soc Surg Hand 1989;6:120-130.

  32. 32.Steyers CM, Blair WF. Measuring ulnar variance: a comparison of techniques. J Hand Surg 1989;245:123-132.

  33. Levinsohn EM. Imaging of the wrist. Radiol Clin North Am 1990;28:905-921.

  34. Nakamura R, Tanaka Y, Imaeda T, Miura T. The influence of age and sex on ulnar variance. J Hand Surg 1991;16B:84-88.

  35. 35.Tsuge S, Nakamura R. Anatomical risk factors for Kienbock’s Disease. J Hand Surg 1993;18B:70-75.

  36. Goto M, Kobayashi A. Aging and ulnar variance: features of the elbow joint affecting positive ulnar variance. In: Nakamura R, Linscheid RL, Miura T, Eds. Wrist Disorders. Tokyo: Springer-Verlag;1992. pp. 57-59.




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