The relationship between radiographic measurement and short-term clinical outcome of distal radius fractures

Abstract

Objective To evaluate the relationship between radiographic measurement and short-term clinical omcome of distal radius fractures. Methotis Sixty-two cases of distal radius fractures treated with closed reduction and cast immobilization were involved in the study.The X-ray films were measured in the StarPACS system to acquire radial shortening,palmar tilt and radial inclination.The relationshiD between radiographic measurements and short-term wrist joint function was analyzed. Results Fifty out of 62 (80.6%)cases achieved good results.Better wrist joint function was observed when radial shortening was greater than 6.0 mm,palmar tilt greater than 5°and radial inclination greater than 18°.The correlation between radiographic measurement and wrist function Was tightest for radius shortening,followed by palmar tilt and radial inclination. Conclusion Radial shortening,palmar tilt and radial inclination can be used as radiographic criteria for evluating results in the treatment of distal radius fractures.If these criteria are not met after manual reduction,re-manipulation or surreal intervention should be considered.Correction of radial shortening should be the priority in the management of distal radius fractures. Key words: Fractures,bone; Treatment outcome; Radiographic measurement; Distal radius fractures