Abstract
Introduction
The morphometry of distal end radius (DER) comprises the four necessary parameters: radial inclination, palmer tilt, radial height, and ulnar variance. The unblemished intellect about the morphometry is urged for the management of fracture of DER. The goal of our study was to determine the values of morphometric parameters of the DER from the adult Indian.
Materials and Methods
It was a single hospital- based observational cross-sectional, prospective study. Radial inclination, radial height, and ulnar variance were measured on posteroanterior view, and the measurement of palmer tilt was accomplished on the lateral view. All the statistical analysis was done by Microsoft XL 2007 (data add in function were installed for data analysis). T-test was used for comparing the means of the parameters.
Results
Two hundred and forty two (n = 242) X-rays were included in this study to analyze. The mean value (n = 242) of radial inclination was 23.27°± (standard deviation [SD]) 7.42° (range: 11.3–42.1°), palmer tilt 10.07° ± (SD) 5.28° (range: 1–16.9°), radial height 11.31 mm ± (SD) 4.9 mm (range: 7.1–30.4 mm), and ulnar variance 0.66 mm ± (SD) 2.46 mm (range: -2.4 to +4.1).
Conclusion
This study may provide an inauguratory plinth to prosecute the further analytical research in the Indian population. Moreover, the data may also be used as a reference data for the anatomical alignment while treating the injuries of the DER in the Indian population.
Similar content being viewed by others
References
van Eerten PV, Lindeboom R, Oosterkamp AE, Goslings JC. An X-ray template assessment for distal radial fractures. Arch Orthop Trauma Surg 2008;128:217–21.
Leung F, Ozkan M, Chow SP. Conservative treatment of intraarticular fractures of the distal radius–Factors affecting functional outcome. Hand Surg 2000;5:145–53.
Slutsky DJ. Predicting the outcome of distal radius fractures. Hand Clin 2005;21:289–94.
Ando Y, Yasuda M, Goto K. Is ulnar variance suitable for a parameter of Colles’ fracture preoperatively? Osaka City Med J 2006;52:63–6.
Hollevoet N, Verdonk R. The functional importance of malunion in distal radius fractures. Acta Orthop Belg 2003;69:239–45.
Gupta C, Kalthur SG, Malsawmzuali JC, D’souza AS. A morphological and morphometric study of proximal and distal ends of dry radii with its clinical implications. Biomed J 2015;38:323–8.
Prithishkumar IJ, Francis DV, Nithyanand M, Verghese VD, Samuel P. Morphometry of the distal radius–An osteometric study in the Indian population. Indian J Basic Appl Med Res 2012;1:166–71.
Gartland JJ Jr., Werley CW. Evaluation of healed Colles’ fractures. J Bone Joint Surg Am 1951;33:895–907.
Hadi S, Wijiono W. Distal radius morphometry of Indonesian population. Med J Indonesia 2013;22:173–7.
Chan CY, Vivek AS, Leong WH, Rukmanikanthan S. Distal radius morphometry in the Malaysian population. Malaysian Orthop J 2008;22:27–30.
Johnson PG, Szabo RM. Angle measurements of the distal radius: A cadaver study. Skeletal Radiol 1993;22:243–6.
Pennock AT, Phillips CS, Matzon JL, Daley E. The effects of forearm rotation on three wrist measurements: Radial inclination, radial height and palmar tilt. Hand Surg 2005;10:17–22.
Miyake T, Hashizume H, Inoue H, Shi Q, Nagayama N. Malunited Colles’ fracture. Analysis of stress distribution. J Hand Surg Br 1994;19:737–42.
Pogue DJ, Viegas SF, Patterson RM, Peterson PD, Jenkins DK, Sweo TD, et al. Effects of distal radius fracture malunion on wrist joint mechanics. J Hand Surg Am 1990;15:721–7.
Short WH, Palmer AK, Werner FW, Murphy DJ. A biomechanical study of distal radial fractures. J Hand Surg Am 1987;12:529–34.
Gelberman RH, Salamon PB, Jurist JM, Posch JL. Ulnar variance in Kienböck’s disease. J Bone Joint Surg Am 1975;57:674–6.
De Smet L. Ulnar variance: Facts and fiction review article. Acta Orthop Belg 1994;60:1–9.
Adams BD. Effects of radial deformity on distal radioulnar joint mechanics. J Hand Surg Am 1993;18:492–8.
Austin L, Veillette C. Distal radius fracture. In: Orthopedia-Collaborative Orthopaedic Knowledgebase. 2009; 13–26.
Nana AD, Joshi A, Lichtman DM. Plating of the distal radius. J Am Acad Orthop Surg 2005;13:159–71.
Sandjaja G. Overview The average value of the distal radius angle normal access to the visitors at the RSCM[Thesis]. Mount Pleasant, MI: Universitas Indonesia; 1993.
Hollevoet N, Van Maele G, Van Seymortier P, Verdonk R. Comparison of palmar tilt, radial inclination and ulnar variance in left and right wrists. J Hand Surg Br 2000;25:431–3.
Werner FW, Palmer AK, Fortino MD, Short WH. Force transmission through the distal ulna: Effect of ulnar variance, lunate fossa angulation, and radial and palmar tilt of the distal radius. J Hand Surg Am 1992;17:423–8.
Schuind FA, Linscheid RL, An KN, Chao EY. A normal data base of posteroanterior roentgenographic measurements of the wrist. J Bone Joint Surg Am 1992;74:1418–29.
Altissimi M, Antenucci R, Fiacca C, Mancini GB. Long term results of conservative treatment of fractures of the distal radius. Clin Orthop Relat Res 1986;206:202–10.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Mishra, P.K., Nagar, M., Gaur, S.C. et al. Morphometry of distal end radius in the Indian population: A radiological study. IJOO 50, 610–615 (2016). https://doi.org/10.4103/0019-5413.193482
Published:
Issue Date:
DOI: https://doi.org/10.4103/0019-5413.193482