Distal End Of Radius Research Articles

A prospective study of surgical management of distal end radius fractures using volar rim variable angle locking plates

Background: To assess the clinical and functional outcome of surgically treated distal radius fractures specially involving volar rim fixed with Volar Rim Variable Angle Locking Plates. Objectives: To evaluate the radiological union in fractures of distal radius fixed with Volar Rim Variable Angle Locking Plates .To evaluate clinical and functional outcome associated with this treatment modality. To study the complications associated with this treatment. Materials and Methods: 20 cases of distal end radius fractures surgically treated with Volar Rim Variable Angle Locking Plate according to inclusion and exclusion criteria, all patients followed up for a period of 1 year and results assessed with using the Demerit point system of Gartland and Werley. Results: In our study mean duration of complete union was 11 weeks which is comparable with other similar studies. We have achieved excellent results in 65% of cases, good in 20% of cases, fair in 10% and poor results in 5% of cases. Complications like stitch abscess, reduced range of motion, complex regional pain syndrome seen in 4 (20%) of cases. Conclusion: Volar Rim Variable Angle Locking Plate gives an adequate buttress of the volar radius distal to volar projection of the lunate facet and do not interfere with wrist mobility. Volar rim plate in distal radius fractures provide good to excellent results and are effective in the correction and maintainance of distal radius anatomy.

Functional outcome of volar barton fracture distal end radius treated with plating

Background: More than 206 years have passed since Colles described the fracture of the distal end of the radius. Barton’s fracture, named after the American surgeon john rhea barton is a fracture of the distal end of radius that involves the dorsal or volar rim and extends into the intra articular region. As far as the treatments of volar barton fractures are concerned, it is one of the most challenging types. The main objective of treatment is to re-establish anatomic integrity and joint function. The purpose of the study is to evaluate the functional outcome of volar barton fracture of distal end radius treated with plating using mayo wrist score.Materials and Methods: The study was conducted in the department of orthopedics, Geetanjali medical college and hospital, Udaipur. 25 patients with volar barton fracture of distal end radius were included in study. The period of study was between January 2019 to June 2020. Minimal period of follow-up was 6 months and Functional outcome was evaluated using Mayo wrist score.Results: In our series, we had 64% excellent, 32% good, 4%, fair and no poor results using Mayo wrist score. Patients, who obtained excellent results, had normal regular activities and no pain. Range of motion was within the normal functional range. Radial length, volar tilt and articular step-off were within acceptable limits. Patients with good results had minimal residual deformities, pain and slight limitation of function. Patients with fair results, along with residual deformity, pain and limitation also had pain in the distal radio-ulnar joint and minimal complications. Few of their movements were less than that required for normal function.Conclusion: Our study concludes that fixation of volar Barton fracture of distal end radius treated with plating showed excellent functional outcome with early ROM and good grip strength without any major complications.

Clinical, functional and radiological outcomes of volar locked plating of distal radius fracture: A prospective study

Background: The fracture of lower end radius is the most common fracture of the upper extremity encountered in practice and constitutes 10 to 20% of all the fractures and 75% of all forearm fractures. In spite of various new advances, closed reduction and cast immobilization has been the mainstay of treatment of these fractures, but malunion of fracture and subluxation /dislocation of distal radioulnar joint resulting in poor functional and cosmetic results is the usual outcome. Recently, the volar locked plate osteosynthesis is considered as the “gold standard” in treatment of ‘unstable’ distal radius fractures. The present study proposed to evaluate the role of volar locking plate fixation in the management of intra-articular and extra-articular volar fractures of distal end radius and to evaluate the clinical, functional and radiological outcomes.Aim and Objectives: To study the improvement in clinical, functional and radiological outcomes of volar locked plate fixation in a distal end radius fracture.Materials and Methods: A prospective study was undertaken in a Tertiary Hospital from September 2016 to September 2018, 30 patients (age >20 yrs) with volar fracture of lower end of radius i.e. AO types A 2.3, B 3.1, B 3.2, B 3.3 operated with volar locked plating. The patients were followed up at 2nd, 6th, 12th and 24th postoperative weeks. Radiological & clinical, functional outcomes were assessed by using Stewart score & PRWE (Patient–rated wrist evaluation questionnaire) score respectively. Data collected of these 30 patients were statistically analysed using ANOVA chi – square test.Results: Clinical and Functional outcome by Patient Rated Wrist Evaluation scoring system shows maximum no. of patients come in Good and Excellent grading i.e. 17(56.7%) and 8(26.7%) out of 30 patients, along with this 1(3.3%) Fair and 4(13.3%) Poor result. Radiological outcome by Stewart I scoring system is Maximum no. of cases shows Good and Excellent results i.e. 20(66.7%) and 6(20%) out of 30 patients. With this 1(3.3%) Fair and 3(10%) Poor result.Conclusion: Open reduction and internal fixation with volar locked plating has satisfactory functional and radiological outcome with minimal complications and thus it is an excellent modality to treat volar fractures of distal end radius.

Surgical outcome of intra-articular fractures of distal end of radius managed by external fixator - our experience

Background & Objectives: Preservation of the articular congruity is the principle prerequisite for successful recovery following distal radius fractures. The best method of obtaining and maintaining an accurate restoration of articular anatomy however, remains a topic of considerable controversy. External fixation as a method of treatment for distal end of radius fracture has more than 60 yrs of documented clinical experience. The main aim of this study is to evaluate the results obtained by treatment of distal end radius fractures by external fixation.Methods: In a prospective controlled study, 30 cases of intra-articular fractures of distal end radius in adult patients were treated with uniplanar bridging type of external fixation using the principle of ligamentotaxis and augmentation by K wires. Mean age of the patients was 37.3years, External fixator was applied for a mean duration of 6 weeks and cases were followed up for an average of 37.0 weeks post operatively.Results: Assessed as per De merit point system of Gartland and Werley (modified by Sarmiento 1975) for functional results at the end of 6 months of follow up. Excellent to good functional result was noted in 83.3%.Conclusion: External fixation and ligamentotaxis provides better functional and anatomical results in intra-articular fractures of distal end radius. The success not only depends on the anatomical restoration of the articular surface. It also depends on the associated soft tissue injuries and articular damage.

Comparison of functional outcomes between teriparatide and vitamin D3 in distal end radius fractures of osteoporotic patients

Objectives: The objective of this study was to evaluate and compare the efficacy of teriparatide (osteoanabolic agent) versus vitamin D3 supplementation to improve functional outcomes in osteoporotic patients with distal end radius fractures (DERF). Methods: We conducted a prospective, randomized clinical study to compare the functional outcomes. Sixty osteoporotic DERF patients, treated with either conservative or surgical management were randomized to receive either teriparatide (20 mcg/day) or vitamin D3 (1000 IU/day) for a period of 3 months, along with calcium (500 mg/day) supplementation. The treatment outcomes were evaluated pre and post-management (1-month and 3-months) by Green and O’Brien scale, Patient-rated Wrist Evaluation (PRWE) scale, and Sarmiento scale. Results: There was a significant difference between the two groups at 3-months post-management. Teriparatide showed a significantly greater improvement of functional outcome (P=0.036) and patient-reported outcome (P<0.001) in comparison to vitamin D3 in total Green and O’Brien score and PRWE score, respectively. Conclusion: Teriparatide supplementation was effective and resulted in greater improvement in functional and radiologic outcomes in comparison to vitamin D3. Adjuvant teriparatide therapy may be a therapeutic option to improve the functional outcomes in DERF of osteoporotic patients.

A Randomized Controlled Trial Comparing Wide-Awake Local Anesthesia With No Tourniquet (WALANT) to General Anesthesia in Plating of Distal Radius Fractures With Pain and Anxiety Level Perception.

Introduction: Distal end radius fractures are common fractures commonly treated with an option of open reduction and plating. Traditionally, plating is performed under general anesthesia (GA) or regional block. Recently, a new technique of plating under wide-awake local anesthesia with no tourniquet (WALANT) has been introduced. We aim to compare the preoperative anxiety level, intraoperative pain scores, post-operative pain scores, operating time, blood loss and clinical outcome of distal end radius plating with WALANT versus GA with tourniquet.Methods: We conducted a randomized controlled study on patients with closed fracture of the distal end of the radius requiring open reduction and plating from January 2019 till April 2020. We recruited 65 patients (33 patients in the WALANT group and 32 patients in the GA group). Randomization was done via block randomization. Data were collected to evaluate preoperative anxiety using the Amsterdam Preoperative Anxiety and Information Scale (APAIS) score, intraoperative pain score during injection (baseline) (V1), 10 minutes after injection (V2), during incision (V3), during gentle manipulation (V4), during aggressive manipulation (V5) and during first drilling of screw (V6), blood loss, duration of surgery and post-operative pain score. Additionally, intraoperative visual analog scale (VAS) score was obtained in the WALANT group. At three weeks, six weeks, three months and six months after operation, the Quick Disabilities of Arm, Shoulder and Hand (QuickDASH) scores and range of motion (ROM) of the wrists were obtained.Results: The average age in the WALANT group was 47.19 (range, 36-64) years and GA group was 49.48 (range, 38-60) years. The mean APAIS score obtained was 7.78 (WALANT group) and 7.36 (GA group) with no statistical difference. For intraoperative VAS, only during V4 and V5 were the scores 1/10; otherwise at all other phases, the VAS score was 0. The average time for surgery was statistically longer in the WALANT group (61.22 minutes) compared to the GA group (55.33 minutes) (p = 0.003). There was no statistical difference in mean blood loss in both groups. The average post-operative VAS showed statistical significance only at 1 hour and 12 hours post-operation with no statistical difference at 2 and 24 hours post-operation. There was no difference in the post-operative ROM including wrist flexion, extension, supination and pronation for both groups up to six months’ follow-up.Conclusion: There was no statistically significant difference in terms of preoperative anxiety level, intraoperative and post-operative VAS score, amount of blood loss and clinical outcome in both groups for plating of the distal end radius. However, the operating time was slightly longer in the WALANT group. We conclude that distal radius plating under WALANT has similar outcomes to GA. In centres with limited resources, WALANT offers a safe, reliable and cheaper option, reserving GA time for head, abdominal and thoracic surgery.

Pain Perception During the Phases of Manual Reduction of Distal End Radius Fracture With a Periosteal Block.

IntroductionClosed reduction is an effective method of treatment for distal end radius fractures. We present a case series of patients with distal end radius fractures who underwent closed manipulative reduction using the periosteal block. We describe the technique in detail and examine its efficacy in pain lowering effect during closed reduction.MethodsNineteen patients with distal end radial and ulnar fractures were included and grouped based on the Frykman classification. The reduction was performed using a periosteal block of 10 ml of 2% lignocaine injection. The severity of pain was recorded by utilizing the visual analog scale (VAS) in five phases: 1) before injection, 2) after 15 minutes of analgesia in a resting position, 3) during minimal motion, 4) during full manipulation and reduction, and 5) post-procedure. The VAS scoring was classified as painless (VAS score of 0), mild pain (VAS score between 1-3), and painful (VAS score of 4 and above).ResultsThe study included 19 patients [median age of 53 years (range: 18-88 years)]; there were 11 (58%) males and eight (42%) females. The mechanism of injury was a fall (n=12, 63%) or a motor vehicle accident (n=7, 37%). There was a statistically significant reduction of pain between phase one and all the other phases. Between the different fracture configurations, there was no significant difference in pain reduction. The most painful phase was expected to be phase four, ie, during full manipulation, in which four (21%) patients had a VAS score of 0, 12 (63%) patients had a VAS score between 1-3, and three (16%) patients had a VAS score of 4. Thus, 16 out of 19 patients (84%) had no or minimal pain during the most painful phase. There were no complications from the periosteal blocks.ConclusionsThe periosteal nerve block is an effective procedure providing satisfactory analgesia during the reduction of distal radial and ulnar fractures. It has no side effects and is free from complications associated with conventional sedation.

Radiological assessment of age from epiphyseal fusion at the wrist and ankle in Southern Nigeria

ObjectivesThis cross-sectional study aims to examine the variation between stages of epiphyseal fusion at the distal end of radius, ulna, tibia, and fibula and its usefulness in the evaluation of age. MethodsAnterior-posterior and lateral radiographs of the distal end of bones at the wrist and ankle of 199 males and 185 females aged 9–19 years were investigated. Four stages of fusion were observed, as described by Jit and Kulkarnis, stage 0: non fusion, stage 1: appearance, stage 2: partial fusion, and stage 3: complete fusion. The Delta State University Teaching Hospital, Oghara approved this research with Ethical Number: DELSUTH/HREC/2018/050/0347. Data obtained were analyzed with the aid of a Chi-square test via Statistical Package for Social Sciences and a p-value less than 0.05 was considered as statistically significant. Resultsshowed that the appearance of the epiphyseal centres at the distal ulna and radius of males and females began at the age of 9–16, while the appearance of epiphyseal centres in the distal tibia and fibula of males began at the age of 9–17. Males achieved complete epiphyseal fusion at the distal end of the tibia and fibula at age 19, while females showed complete fusion from 15 to 19 years of age.This indicates that females have consistently developed epiphyseal fusion at a younger age relative to males. ConclusionFrom these results, it can be inferred that radiographic examination of the distal end of bones in the wrist and ankle is a beneficial alternative for age assessment. This will be a useful tool to forensic experts and biological anthropologist.

Comprehensive–Comparative study of fracture distal end radius with plating and K-Wire fixation

Introduction: Distal end radius fracture is a common fracture seen in the routine orthopedic outpatient department. The optimal management of distal radius fractures remains controversial. Aim: The aim of the study is to compare the functional outcomes folloing volar plating and K-ire fixation of the distal end radius fractures and to compare hich method produced better result. The functional outcome in terms of range of movements, pain, and grip strength of the patients as assessed at 6 months in both groups by demerit score system of Gartland and Werley. Material and Methods: The ORIF group as treated ith volar plating and CRIF group ith k ires. The functional outcome as measured using Gartland and Werley system. Results: Functional outcome as per Gartland and Werley as 95% excellent-to-good results in the plating group as compared to 75% in the K-ire fixation group. Conclusion: The study emphasizes that open reduction and internal fixation ith volar plating has excellent functional outcome hen compared to K-ire fixation in distal radius fractures. When considering the cost, K-ire fixation is preferred over volar plating.

A prospective study in surgical management of distal end radius fracture with variable angle locking compression plate

Background and Objective: The distal end of the radius is subject to many different types of fracture, depending on factor such as age, transfer of energy, mechanism of injury and bone quality i.e. Colle’s, Smith’s volar and dorsal Barton’s fracture [1]. Fractures of distal end radius are the most common fractures of the upper extremity, encountered in all of the skeletal fractures and constitute 17% and 75% of forearm fractures and having incidence from 5.7 to 124.6 per 10,000 persons per year [2]. In Intra articular distal radius fracture’s degree of anatomical reduction is directly related to the posttraumatic arthritis. Conservative treatment is usually unsuccessful, and it is fraught with complications, such as early osteoarthrosis, deformity, subluxation, and instability [3-5] The aim of treatment here is good reduc-tion and immediate stability to achieve anatomic fracture union, which will allow the early mobilization of wrist and also to avoid the complications of fracture [6-8] Fracture healing decided by factors such as gap, stability and blood supply [9]. With locking compression plate the locking screw supports subchondral bone and resists axial forces. Compression of locking compression plate to bone is unnecessary and preserves periosteal blood supply [10]. The locking plate minimizes the compression exerted on the bone to achieve stability, impairment of blood supply, periosteal compression and along with that it allows screws to be angled around central axis of plate hole to match with the anatomy [11]. The motive of this study is variable angle locking compression plates in the treatment of distal end radius fractures and it’s beneficial effects.Materials and Methods: 20 patients with Distal End Radius fracture were selected admitted at Chigateri general hospital and Bapuji hospital attached to J.J.M. Medical College, Davangere during October 2018 to October 2020.The study will include patients with distal end radius fractures seen as both out-patient and in-patient fulfilling the inclusion criteria. The patients are assessed both clinically and radiologically. Other associated injuries are noted. The patients undergoing open reduction and internal fixation and application of variable angle locking compression plates for distal end radius fracture are reviewed post operatively, one month, three month, six month and after one year clinically and with x-rays.Result: The study comprised of 15 male and 5 female patients aged from 18 to 72 years with the mean age of 42.2 years with most patient had injury to right side i.e. 11 out of 20 (55%) patients. The average duration from the date of injury to date of surgery was 3 days. The follow up ranged from 6 to 14 months. Using the Modified Cooney, Green and O’Brien functional score for wrist we had 50% excellent, 30% good, 15% fair and 5% poor results with only 3 out of 20 (15%) patients having complications like (arthritis, extensor pollicis longus tendon irritation, superficial skin infection)Interpretation and Conclusion: Fixation of Distal End Radius Fracture with a Variable angle locking compression plate has acceptable outcome for both the patients and surgeon. Variable angle locking plates give acceptable results in the treatment of this type of fracture with better and faster recovery of functions and range of movements.

Comprehensive study of fracture distal end radius with plating and k wire fixation

Distal end radius fracture is a common fracture seen in the routine orthopedic OPD. The optimal management of distal radius fractures remains controversial. AIM: To compare functional outcomes following volar plating and K-wire fixation of distal end radius fractures and compare which method produced better result. The functional outcome in terms of the range of movements, pain, and grip strength of the patients was assessed at 6 months in both groups by demerit score system of Gartland and Werley. Result: Functional outcome as per Gartland and Werley was 95% excellent to good results in plating group as compared to 75% in K-wire fixation group. Conclusion: The study emphasizes that open reduction and internal fixation with volar plating have excellent functional outcome when compared to K-wire fixation in distal radius fractures. When considering the cost, K-wire fixation is preferred over volar plating.

Use of Locking Compression Plate with or without Bone Grafting in Intra Articular and/or Highly Comminuted Distal End Radius Fractures: Our Experience in Adult Working Population in a Semi Urban Setup

Background and Objective: Incidence of fractures of distal radius are increasing due to more geriatric population and road traffic accidents and at the same time surgical treatment options for the same are modified continuously. The fundamental goal of treating distal radial fractures is restoration of normal or near normal alignment and articular congruity. Internal fixation using different plates can rigidly stabilize cancellous fragmented bone along with augmentation with bone graft which may not be amenable to k-wire or External fixation. Thus, this study was carried out in adult working population to study the functional outcome and effectiveness of operative management and study the complications of the same in a semi urban population.

Radiological Assessment and Functional Outcomes of Hand and Wrist in Patients with Distal End Radius Fractures

Background: Fractures of distal end of radius are the most common fractures among the patients treated at emergency rooms. Despite a considerable progress in medical field over the last several years, distal end of radial fracture outcomes seem to be unsatisfactory in fairly large number of cases. The aim of this study was to determine the functional outcome of hand and wrist after distal end of radius fractures managed by different treatment modalities, to determine the complications of each methods used for treatment of distal end of radius fractures, to compare anatomical outcome with functional outcome after management of fracture distal end of radius. Methods: A clinical, observational, prospective type of study was carried out on 40 cases with fractures of distal end of radius. The fractures were classified according to AO classification. After initial evaluation patients were taken up for either conservative or operative treatment. All the cases were followed up and assessed for minimum of 6 months. Patients with complications were followed up more frequently. Results: Anatomical results were evaluated according to Sarmiento’s modification of Lindstrom Criteria. Clinical and functional results were evaluated according to demerit point system of Gartland and Werley with Sarmiento modification Conclusions: There is direct relationship between anatomical result and functional outcome. Therefore, every effort should be made to restore normal length and alignment, as well as articular surface congruency of distal radius. Keywords: Distal end of radius, Demerit point system of Gartland and Werley with Sarmiento modification, Sarmiento’s modification of Lindstrom Criteria, Functional evaluation

Functional Outcome of Distal End Radius Fractures Treated Conservatively in a Tertiary Care Centre

Functional Outcome of Distal End Radius Fractures Treated Conservatively in a Tertiary Care Centre

Volar Radiocarpal Subluxation an Unusual Complication Following Distal Radius Fracture Fixation with Locking Plate- A Case Report

Introduction: Distal radius fractures are commonly treated by fixation using a volar locking plate. In some fracture patterns, this mode of fixation is not adequate. This case report aims to describe one such case. Case report: We report a case of a 28-year-old gentleman who presented with volar subluxation of the radiocarpal joint early in the postoperative period following fixation of the distal end radius volar locking plate. Conclusion: Volar locked plates have become the most common fixation strategy for distal radius fractures. In certain fracture patterns where a volar locking plate would be inappropriate, an alternative fixation strategy should be considered such as rim plate. Keywords: Volar locking plate, Volar rim plate, Radiocarpal dislocation

A case of distal end radius fracture with pain in the radial region of the right wrist joint when operating the accelerator of a motorcycle

A case of distal end radius fracture with pain in the radial region of the right wrist joint when operating the accelerator of a motorcycle

Effectiveness of prophylactic vitamin C supplementation in the prevention of complex regional pain syndrome after distal end radius fractures in the aging population

Background/purpose Vitamin C has been proposed to prevent the incidence of complex regional pain syndrome, but the results are conflicting. We evaluated the effectiveness of vitamin C in the prevention of complex regional pain syndrome-1 after distal end radius fractures in the aging population. Methods This was a prospective, randomized study. Patients treated with either conservative or surgical management for distal end radius fracture received Vitamin C (500 mg/day) plus standard therapy or standard therapy alone for a period of 3 months. The presence of complex regional pain syndrome-1 was assessed with Budapest criteria. Results The complex regional pain syndrome-I occurred in 11.3% in Vitamin C plus Standard in compared to 26% in Standard therapy alone. Vitamin C was significantly associated with a reduction in the likelihood of exhibiting complex regional pain syndrome-1. Conclusion Vitamin C (500 mg/day) supplementation was effective and associated with a lower occurrence of acute complex regional pain syndrome-1. It can be a promising prophylactic option for the prevention of complex regional pain syndrome-1 after distal end radius fracture.

Outcome of Distal radius fracture managed by MIPO - A case series

Introduction: Various treatment options for management of distal radius fracture include close reduction and application of cast, K wire fixation, external fixator application and open reduction and plating. The current study is aimed to assess the outcome of distal end radius fracture managed by minimally invasive plate osteosynthesis by evaluation of clinical results, radiological features and functional outcome. Materials and Methods: This was a prospective study conducted in Orthopedics department of SGRRIMHS, Dehradun 80 patients were enrolled. Evaluation was done on the basis of clinico- radiological and functional assessment. The parameters were measured preoperatively and on 4, 12 and 24 weeks. Chi square test was used to compare proportions and T-test was used to compare means of groups. P-value

Study of treatment for distal end radial fractures by open reduction and internal fixation with volar locking compression plates

Introduction: For dorsally displaced lower end radius fractures percutaneous pinning fixation and insome studies fragment specific fixation shows their advantages. For volarly displaced fracturesvolarly plate fixation traditionally showed good results. The volar locking plates with their inheritanceability to provide absolute stability are attractive for their advantages. Objective: To assess thefunctional outcome of treating the distal end radius fractures with the use of volar lockingcompression plates. Materials and methods: Study of a total of 30 patients was conducted in thedepartment of orthopedics at G K General Hospital, Bhuj, Gujarat. All 30 patients with closedfractures were included in the study. All patients were treated with open reduction and internalfixation with the use of a volar locking compression plate. The patients were followed up at one, two,three, and up to six months. Mayo wrist scoring system was used to assess final functional outcomesof treatment. Results: At the final functional assessment, as per mayo wrist scoring out of a total of30 patients, 17 of them achieved excellent, 7 achieved good outcomes, with 5 patients exhibitingfair results and one patient had the collapse of fixation at the 3-month review. No, any patient haddiminution of functional outcome. On radiological assessment, 70% of patients had callus formationand no clear fracture line was seen, 18% had callus formation but a visible fracture line was presentand 12% of patients had clear visible fracture line up to final follow up. Conclusion: Open reductionand internal fixation with volar locking compression plating is a safe and effective treatment forunstable especially volarly displaced fractures of distal end radius with satisfactory functionaloutcome.

Distal Radius Measurements in Indian Population-An comprehensive Morphometrical Analysis

The four basic morphometrical parameters regarding the anatomy of the distal end of radius bone are radial inclination, palmar tilt/volar tilt, radial height (length) and ulnar variance. The management of various conditions such as fracture of the distal radius bone, designing of the distal radius plates and kinesiology utilize the parameters in the morphometrical measurement of the distal end radius. The goal of our study is to bring about the normalized values of the morphometrical parameters of the DER among the general Indian population for helping in designing the distal radius plates. The study was conducted in a tertiary care hospital in India. It was a single hospital based study. The views considered for the study were the true posteroanterior (PA) and the lateral view (with neutral rotation). The posteroanterior view was used for the measurement of radial inclination, radial length (height) and the ulnar variance. The lateral view helped in the accomplishment of the measurement of the palmar/volar tilt. The statistical analysis was done by Microsoft Excel 2007 (Data add in function was installed for the analysis of the collected data). The means of the morphometrical parameters was compared with the help of T-test. Two hundred (n=200) radiographs were included for analysis under this study. The mean value of radial inclination was 20.7 8 ° ± (SD) 3.45° [Range: 14.9-29.1°], palmar/volar tilt 10.99° ± (SD) 3.87° [Range: 1.8-18.6°], radial length/height 11.39 mm ± (SD) 1.97 mm [Range: 8.3-27.7 mm], and ulnar variance 0.90 mm ± (SD) 3.14 mm [Range: +0.70 to +3.70]. This study will lead for further researches in the analysis of the morphometrical parameters of the distal end of radius bone in the Indian population. For the clinical management of the injuries around the wrist joint the results of this study can be used as a reference standard to anatomically align the bones and the affected structures.