A comparative study about ionizing radiation emitted during radiological “skyline” view of the wrist in pronation versus supination

  • Lucile Vaiss
  • Satoshi Ichihara
  • Dallan Geller Hernandez Ramirez
  • Sarah Hendriks
  • Philippe Liverneaux
  • Sybille Facca
Original Article
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Abstract

The dorsal tangential view to the distal radius or “skyline,” used to control the length of the screws for the ORIF with volar plates, is carried out in supination (fluoroscope vertical) or in pronation (fluoroscope horizontal). The purpose of this study was to compare the dose of ionizing radiation emitted during a “skyline” view in supination versus pronation. A “skyline” was performed on 14 fresh cadaveric wrists. In group 1, the fluoroscope was positioned vertically and the wrist was held in supination. In group 2, the fluoroscope was positioned horizontally and the wrist held in pronation. The average dose of ionizing radiation was 0.9286 cGy/cm2 (group 1) and 0.8751 cGy/cm2 (group 2). The difference was not statistically significant. Overall, the emitted dose for the “skyline” is negligible compared to that of a standard wrist radiography with no difference between the vertical and horizontal positioning. Peroperatively, the vertical “skyline” seems easier to setup, less time consuming and less prone to asepsis faults.

Keywords

Dorsal tangential view to the distal radius Skyline Distal radius fracture Volar plate 
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Notes

Acknowledgments

Authors wish to thank European Wrist Arthroscopy Society (EWAS) who provided the cadavers, Erik Sauleau, Department of Medical Informatics, Strasbourg University Hospitals, Strasbourg, France, and Olivier Legeas, Department of Medical Imaging, Brest University Hospital, Brest, France.

Conflict of interest

Philippe Liverneaux has conflicts of interest with Newclip Technics, Integra, Argomedical, iiN medical. All other authors have no conflicts of interest.

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Copyright information

© Springer-Verlag France 2014

Authors and Affiliations

  • Lucile Vaiss
    • 1
  • Satoshi Ichihara
    • 1
    • 2
  • Dallan Geller Hernandez Ramirez
    • 1
    • 3
  • Sarah Hendriks
    • 1
  • Philippe Liverneaux
    • 1
  • Sybille Facca
    • 1
  1. 1.Hand Surgery DepartmentStrasbourg University HospitalsIllkirchFrance
  2. 2.Department of Orthopaedic SurgeryJuntendo UniversityTokyoJapan
  3. 3.Fundacion Universitaria San MartinBogotáColombia

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