Research Article
BibTex RIS Cite
Year 2022, Volume: 6 Issue: 1, 36 - 42, 01.01.2022
https://doi.org/10.28982/josam.938799

Abstract

Project Number

none

References

  • 1. Ikeda K, Yoshii Y, Ogawa T, Ishii T. Radiographic characteristics of wrists in idiopathic carpal tunnel syndrome patients. BMC Musculoskelet Disord. 2020 Apr 15;21(1):245. doi: 10.1186/s12891-020-03254-w. PMID: 32293404; PMCID: PMC7161233.
  • 2. Feipel V, Rinnen D, Rooze M. Postero-anterior radiography of the wrist. Normal database of carpal measurements. Surg Radiol Anat. 1998;20(3):221-6. PMID: 9706683.
  • 3. Mann FA, Wilson AJ, Gilula LA. Radiographic evaluation of the wrist: what does the hand surgeon want to know? Radiology. 1992 Jul;184(1):15-24. doi: 10.1148/radiology.184.1.1609073. PMID: 1609073.
  • 4. Mackenney PJ, McQueen MM, Elton R. Prediction of instability in distal radial fractures. J Bone Joint Surg Am. 2006 Sep;88(9):1944-51. doi: 10.2106/JBJS.D.02520. PMID: 16951109.
  • 5. Wang YC, Tseng YC, Chang HY, Wang YJ, Chen CJ, Wu DY. Gender differences in carpal height ratio in a taiwanese population. J Hand Surg Am. 2010 Feb;35(2):252-5. doi: 10.1016/j.jhsa.2009.11.010. PMID: 20141895.
  • 6. Thienpont E, Mulier T, Rega F, De Smet L. Radiographic analysis of anatomical risk factors for Kienböck's disease. Acta Orthop Belg. 2004 Oct;70(5):406-9. PMID: 15587027.
  • 7. Thienpont E, Mulier T, De Smet L. Radiographic analysis of anatomic risk factors for scapholunate dissociation. Acta Orthop Belg. 2003 Jun;69(3):246-51. PMID: 12879707.
  • 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 Oct;74(9):1418-29. PMID: 1429800.
  • 9. Mohammed Ali MH. A normal database of posteroanterior radiographic measurements of the wrist in healthy Egyptians. Surg Radiol Anat. 2009 Nov;31(9):665-74. doi: 10.1007/s00276-009-0500-4. Epub 2009 Apr 8. PMID: 19352583.
  • 10. Katayama T, Ono H, Furuta K, Akahane M, Omokawa S. Clinical radiographic features of the wrist without osteoarthritis and its relations to age and sex in Japanese. Hand Surg. 2015;20(1):59-65. doi: 10.1142/S0218810415500082. PMID: 25609276.
  • 11. Franco-Valencia M, Torres-González R, Fuentes-Figueroa S. Mediciones radiográficas de la articulación de la muñeca en mexicanos sanos [Radiographic measurements of the wrist in healthy Mexicans]. Cir Cir. 2006 Sep-Oct;74(5):335-42. Spanish. PMID: 17224104.
  • 12. Jehan M, Ali N, Itoo MS, Shahdad S, Kawoosa. Carpal height rato in Kashmiri population: a study of one hundred and twenty wrist radiographs. Int J Anat Res 2019;7(1.3):6314-8. doi: 10.16965/ijar.2019.108
  • 13. Kreder HJ, Hanel DP, McKee M, Jupiter J, McGillivary G, Swiontkowski MF. X-ray film measurements for healed distal radius fractures. J Hand Surg Am. 1996 Jan;21(1):31-9. doi: 10.1016/S0363-5023(96)80151-1. Erratum in: J Hand Surg [Am] 1996 May;21(3):532. PMID: 8775193.
  • 14. Nattrass GR, King GJ, McMurtry RY, Brant RF. An alternative method for determination of the carpal height ratio. J Bone Joint Surg Am. 1994 Jan;76(1):88-94. doi: 10.2106/00004623-199401000-00011. PMID: 8288669.
  • 15. Picha BM, Konstantakos EK, Gordon DA. Incidence of bilateral scapholunate dissociation in symptomatic and asymptomatic wrists. J Hand Surg Am. 2012 Jun;37(6):1130-5. doi: 10.1016/j.jhsa.2012.03.020. Epub 2012 May 1. PMID: 22551952.
  • 16. Iida A, Omokawa S, Akahane M, Kawamura K, Takayama K, Tanaka Y. Distal radioulnar joint stress radiography for detecting radioulnar ligament injury. J Hand Surg Am. 2012 May;37(5):968-74. doi: 10.1016/j.jhsa.2012.01.041. Epub 2012 Mar 28. PMID: 22459657.
  • 17. Jackson T, Maulsby E, Wilson D, Lalka A, Scott F. A comparison of sugar-tong and volar-dorsal splints for provisional immobilization of distal radius fractures in the adult population. Eur J Orthop Surg Traumatol. 2021 Feb;31(2):229-234. doi: 10.1007/s00590-020-02760-w. Epub 2020 Aug 13. PMID: 32793994.
  • 18. Haase SC, Chung KC. Management of malunions of the distal radius. Hand Clin. 2012 May;28(2):207-16. doi: 10.1016/j.hcl.2012.03.008. Epub 2012 Apr 13. PMID: 22554664.
  • 19. Kuo CE, Wolfe SW. Scapholunate instability: current concepts in diagnosis and management. J Hand Surg Am. 2008 Jul-Aug;33(6):998-1013. doi: 10.1016/j.jhsa.2008.04.027. PMID: 18656780.
  • 20. Schreibman KL, Freeland A, Gilula LA, Yin Y. Imaging of the hand and wrist. Orthop Clin North Am. 1997 Oct;28(4):537-82. doi: 10.1016/s0030-5898(05)70308-4. PMID: 9257964.
  • 21. Nakamura R, Hori M, Imamura T, Horii E, Miura T. Method for measurement and evaluation of carpal bone angles. J Hand Surg Am. 1989 Mar;14(2 Pt 2):412-6. doi: 10.1016/0363-5023(89)90127-5. PMID: 2732439.
  • 22. Nakamichi K, Tachibana S. Small hand as a risk factor for idiopathic carpal tunnel syndrome. Muscle Nerve. 1995 Jun;18(6):664-6. doi: 10.1002/mus.880180616. PMID: 7753130.
  • 23. Friberg S, Lundström B. Radiographic measurements of the radio-carpal joint in normal adults. Acta Radiol Diagn (Stockh). 1976 Mar;17(2):249-56. doi: 10.1177/028418517601700212. PMID: 1274658.
  • 24. Mann FA, Raissdana SS, Wilson AJ, Gilula LA. The influence of age and gender on radial height. J Hand Surg Am. 1993 Jul;18(4):711-3. doi: 10.1016/0363-5023(93)90324-v. PMID: 8349987.
  • 25. Jung KJ, Nho JH, Kim JH, Kim BS, Gong HS. Triangular Fibrocartilage Complex Repair and Ulna Variance: A Systematic Review. J Hand Surg Asian Pac Vol. 2018 Sep;23(3):313-319. doi: 10.1142/S2424835518300025. PMID: 30282532.
  • 26. Nakamura R, Tanaka Y, Imaeda T, Miura T. The influence of age and sex on ulnar variance. J Hand Surg Br. 1991 Feb;16(1):84-8. doi: 10.1016/0266-7681(91)90136-c. PMID: 2007823.
  • 27. Van Leeuwen WF, Oflazoglu K, Menendez ME, Ring D. Negative Ulnar Variance and Kienböck Disease. J Hand Surg Am. 2016 Feb;41(2):214-8. doi: 10.1016/j.jhsa.2015.10.014. Epub 2015 Dec 11. PMID: 26686062.
  • 28. Youm Y, McMurthy RY, Flatt AE, Gillespie TE. Kinematics of the wrist. I. An experimental study of radial-ulnar deviation and flexion-extension. J Bone Joint Surg Am. 1978 Jun;60(4):423-31. PMID: 670263.
  • 29. Wu DY, Huang MC, Wang YC, Tseng WC. Accurate quantitative measurement of lunate uncovering ratio--is Gilula's semiquantitative test reliable? Hand Surg. 2013;18(3):351-6. doi: 10.1142/S021881041350038X. PMID: 24156577.
  • 30. Cautilli GP, Wehbé MA. Scapho-lunate distance and cortical ring sign. J Hand Surg Am. 1991 May;16(3):501-3. doi: 10.1016/0363-5023(91)90022-4. PMID: 1861035.

Evaluation of radiographic measurements of the wrist in the Turkish population

Year 2022, Volume: 6 Issue: 1, 36 - 42, 01.01.2022
https://doi.org/10.28982/josam.938799

Abstract

Background/Aim: Wrist parameters measured on direct radiography are essential in diagnosing distal radius fractures and many specific wrist disorders and determining prognosis after treatment. Previous studies have shown the intercommunity variability of these parameters in the literature. To our knowledge, no study in the literature reflects the normal values in the Turkish population. This study aimed to determine the distribution and normal limits of parameters measured in posteroanterior (PA) and direct lateral radiographs of the wrist in our population between age and gender groups.
Methods: In this retrospective cohort study, patients who presented to 2 centers in our clinic between 2014-2020 and had PA and lateral wrist radiographs were retrospectively reviewed. Images from patients who had no significant osseous pathology and had not undergone wrist surgery were randomly selected, and 320 (201 female, 119 male) digital images were retrospectively analyzed. The mean age was 40.45 (13.71). The sample was divided into three groups (18-30, 31-50, over 51) according to age and into two groups according to gender. Radial inclination (RI), lunate fossa inclination (LFA), cord of radiocarpal arch (cord RC), radial shift (Radsh), radial height (RadH), ulnar variance (UV), third metacarpal height (3rd MH), carpal height (CH), capitate height (CapH), lunate transverse length (LL), lunate uncovering length (LUL), scapholunate joint distance (SLD), distal radioulnar joint distance (RUD), volar tilt on lateral radiographs (VT), scapholunate angle (SLA) were measured. The lunate uncovering ratio (LUR) was measured in proportion to the lunate uncovering length (LUL) / lunate transverse length (LL); carpal height ratio (CHR) by proportioning carpal height (CH) / third metacarpal height (3rd MH); revised carpal height ratio (rCHR) was calculated by proportioning the carpal height (CH) / capitate height (CapH).
Results: Although the RI and SL values of angular parameters were similar between the gender groups, the LFI and VT values were significantly higher in the female group (P=0.014 and P=0.004, respectively). All metric parameters were significantly superior in the male group (P<0.001). CHR and rCHR values were similar for proportional parameters, while LUR -values were significantly higher in the male group (P<0.001).
All angular measurement parameters, Cord RC, RadH, RadS, LL, LUL, SLD of metric parameters, and CHR and rCHR values of proportional parameters were similar between age groups (P>0.05). While UV values of metric parameters increased in parallel with age, RUD values decreased significantly (P<0.001). The values of the metric parameters CH 3rd MH, CapH, and proportional parameters LUR values also differed between the groups without being correlated with age (P=0.011, P=0.003, P=0.009, P=0.019, respectively).
Conclusion: In our study, we have given the measurement parameters that can be used as a reference for the Turkish population, the relationships between gender and age groups, and the variability. These parameters can be helpful in the diagnosis and treatment of wrist pathologies, the design and development of implants for the treatment of wrist pathologies for our population.

Project Number

none

Thanks

none

References

  • 1. Ikeda K, Yoshii Y, Ogawa T, Ishii T. Radiographic characteristics of wrists in idiopathic carpal tunnel syndrome patients. BMC Musculoskelet Disord. 2020 Apr 15;21(1):245. doi: 10.1186/s12891-020-03254-w. PMID: 32293404; PMCID: PMC7161233.
  • 2. Feipel V, Rinnen D, Rooze M. Postero-anterior radiography of the wrist. Normal database of carpal measurements. Surg Radiol Anat. 1998;20(3):221-6. PMID: 9706683.
  • 3. Mann FA, Wilson AJ, Gilula LA. Radiographic evaluation of the wrist: what does the hand surgeon want to know? Radiology. 1992 Jul;184(1):15-24. doi: 10.1148/radiology.184.1.1609073. PMID: 1609073.
  • 4. Mackenney PJ, McQueen MM, Elton R. Prediction of instability in distal radial fractures. J Bone Joint Surg Am. 2006 Sep;88(9):1944-51. doi: 10.2106/JBJS.D.02520. PMID: 16951109.
  • 5. Wang YC, Tseng YC, Chang HY, Wang YJ, Chen CJ, Wu DY. Gender differences in carpal height ratio in a taiwanese population. J Hand Surg Am. 2010 Feb;35(2):252-5. doi: 10.1016/j.jhsa.2009.11.010. PMID: 20141895.
  • 6. Thienpont E, Mulier T, Rega F, De Smet L. Radiographic analysis of anatomical risk factors for Kienböck's disease. Acta Orthop Belg. 2004 Oct;70(5):406-9. PMID: 15587027.
  • 7. Thienpont E, Mulier T, De Smet L. Radiographic analysis of anatomic risk factors for scapholunate dissociation. Acta Orthop Belg. 2003 Jun;69(3):246-51. PMID: 12879707.
  • 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 Oct;74(9):1418-29. PMID: 1429800.
  • 9. Mohammed Ali MH. A normal database of posteroanterior radiographic measurements of the wrist in healthy Egyptians. Surg Radiol Anat. 2009 Nov;31(9):665-74. doi: 10.1007/s00276-009-0500-4. Epub 2009 Apr 8. PMID: 19352583.
  • 10. Katayama T, Ono H, Furuta K, Akahane M, Omokawa S. Clinical radiographic features of the wrist without osteoarthritis and its relations to age and sex in Japanese. Hand Surg. 2015;20(1):59-65. doi: 10.1142/S0218810415500082. PMID: 25609276.
  • 11. Franco-Valencia M, Torres-González R, Fuentes-Figueroa S. Mediciones radiográficas de la articulación de la muñeca en mexicanos sanos [Radiographic measurements of the wrist in healthy Mexicans]. Cir Cir. 2006 Sep-Oct;74(5):335-42. Spanish. PMID: 17224104.
  • 12. Jehan M, Ali N, Itoo MS, Shahdad S, Kawoosa. Carpal height rato in Kashmiri population: a study of one hundred and twenty wrist radiographs. Int J Anat Res 2019;7(1.3):6314-8. doi: 10.16965/ijar.2019.108
  • 13. Kreder HJ, Hanel DP, McKee M, Jupiter J, McGillivary G, Swiontkowski MF. X-ray film measurements for healed distal radius fractures. J Hand Surg Am. 1996 Jan;21(1):31-9. doi: 10.1016/S0363-5023(96)80151-1. Erratum in: J Hand Surg [Am] 1996 May;21(3):532. PMID: 8775193.
  • 14. Nattrass GR, King GJ, McMurtry RY, Brant RF. An alternative method for determination of the carpal height ratio. J Bone Joint Surg Am. 1994 Jan;76(1):88-94. doi: 10.2106/00004623-199401000-00011. PMID: 8288669.
  • 15. Picha BM, Konstantakos EK, Gordon DA. Incidence of bilateral scapholunate dissociation in symptomatic and asymptomatic wrists. J Hand Surg Am. 2012 Jun;37(6):1130-5. doi: 10.1016/j.jhsa.2012.03.020. Epub 2012 May 1. PMID: 22551952.
  • 16. Iida A, Omokawa S, Akahane M, Kawamura K, Takayama K, Tanaka Y. Distal radioulnar joint stress radiography for detecting radioulnar ligament injury. J Hand Surg Am. 2012 May;37(5):968-74. doi: 10.1016/j.jhsa.2012.01.041. Epub 2012 Mar 28. PMID: 22459657.
  • 17. Jackson T, Maulsby E, Wilson D, Lalka A, Scott F. A comparison of sugar-tong and volar-dorsal splints for provisional immobilization of distal radius fractures in the adult population. Eur J Orthop Surg Traumatol. 2021 Feb;31(2):229-234. doi: 10.1007/s00590-020-02760-w. Epub 2020 Aug 13. PMID: 32793994.
  • 18. Haase SC, Chung KC. Management of malunions of the distal radius. Hand Clin. 2012 May;28(2):207-16. doi: 10.1016/j.hcl.2012.03.008. Epub 2012 Apr 13. PMID: 22554664.
  • 19. Kuo CE, Wolfe SW. Scapholunate instability: current concepts in diagnosis and management. J Hand Surg Am. 2008 Jul-Aug;33(6):998-1013. doi: 10.1016/j.jhsa.2008.04.027. PMID: 18656780.
  • 20. Schreibman KL, Freeland A, Gilula LA, Yin Y. Imaging of the hand and wrist. Orthop Clin North Am. 1997 Oct;28(4):537-82. doi: 10.1016/s0030-5898(05)70308-4. PMID: 9257964.
  • 21. Nakamura R, Hori M, Imamura T, Horii E, Miura T. Method for measurement and evaluation of carpal bone angles. J Hand Surg Am. 1989 Mar;14(2 Pt 2):412-6. doi: 10.1016/0363-5023(89)90127-5. PMID: 2732439.
  • 22. Nakamichi K, Tachibana S. Small hand as a risk factor for idiopathic carpal tunnel syndrome. Muscle Nerve. 1995 Jun;18(6):664-6. doi: 10.1002/mus.880180616. PMID: 7753130.
  • 23. Friberg S, Lundström B. Radiographic measurements of the radio-carpal joint in normal adults. Acta Radiol Diagn (Stockh). 1976 Mar;17(2):249-56. doi: 10.1177/028418517601700212. PMID: 1274658.
  • 24. Mann FA, Raissdana SS, Wilson AJ, Gilula LA. The influence of age and gender on radial height. J Hand Surg Am. 1993 Jul;18(4):711-3. doi: 10.1016/0363-5023(93)90324-v. PMID: 8349987.
  • 25. Jung KJ, Nho JH, Kim JH, Kim BS, Gong HS. Triangular Fibrocartilage Complex Repair and Ulna Variance: A Systematic Review. J Hand Surg Asian Pac Vol. 2018 Sep;23(3):313-319. doi: 10.1142/S2424835518300025. PMID: 30282532.
  • 26. Nakamura R, Tanaka Y, Imaeda T, Miura T. The influence of age and sex on ulnar variance. J Hand Surg Br. 1991 Feb;16(1):84-8. doi: 10.1016/0266-7681(91)90136-c. PMID: 2007823.
  • 27. Van Leeuwen WF, Oflazoglu K, Menendez ME, Ring D. Negative Ulnar Variance and Kienböck Disease. J Hand Surg Am. 2016 Feb;41(2):214-8. doi: 10.1016/j.jhsa.2015.10.014. Epub 2015 Dec 11. PMID: 26686062.
  • 28. Youm Y, McMurthy RY, Flatt AE, Gillespie TE. Kinematics of the wrist. I. An experimental study of radial-ulnar deviation and flexion-extension. J Bone Joint Surg Am. 1978 Jun;60(4):423-31. PMID: 670263.
  • 29. Wu DY, Huang MC, Wang YC, Tseng WC. Accurate quantitative measurement of lunate uncovering ratio--is Gilula's semiquantitative test reliable? Hand Surg. 2013;18(3):351-6. doi: 10.1142/S021881041350038X. PMID: 24156577.
  • 30. Cautilli GP, Wehbé MA. Scapho-lunate distance and cortical ring sign. J Hand Surg Am. 1991 May;16(3):501-3. doi: 10.1016/0363-5023(91)90022-4. PMID: 1861035.
There are 30 citations in total.

Details

Primary Language English
Subjects Orthopaedics, Radiology and Organ Imaging
Journal Section Research article
Authors

Atilla Yalçın This is me 0000-0001-7753-0120

Abdulkadir Polat 0000-0002-3224-7134

Project Number none
Publication Date January 1, 2022
Published in Issue Year 2022 Volume: 6 Issue: 1

Cite

APA Yalçın, A., & Polat, A. (2022). Evaluation of radiographic measurements of the wrist in the Turkish population. Journal of Surgery and Medicine, 6(1), 36-42. https://doi.org/10.28982/josam.938799
AMA Yalçın A, Polat A. Evaluation of radiographic measurements of the wrist in the Turkish population. J Surg Med. January 2022;6(1):36-42. doi:10.28982/josam.938799
Chicago Yalçın, Atilla, and Abdulkadir Polat. “Evaluation of Radiographic Measurements of the Wrist in the Turkish Population”. Journal of Surgery and Medicine 6, no. 1 (January 2022): 36-42. https://doi.org/10.28982/josam.938799.
EndNote Yalçın A, Polat A (January 1, 2022) Evaluation of radiographic measurements of the wrist in the Turkish population. Journal of Surgery and Medicine 6 1 36–42.
IEEE A. Yalçın and A. Polat, “Evaluation of radiographic measurements of the wrist in the Turkish population”, J Surg Med, vol. 6, no. 1, pp. 36–42, 2022, doi: 10.28982/josam.938799.
ISNAD Yalçın, Atilla - Polat, Abdulkadir. “Evaluation of Radiographic Measurements of the Wrist in the Turkish Population”. Journal of Surgery and Medicine 6/1 (January 2022), 36-42. https://doi.org/10.28982/josam.938799.
JAMA Yalçın A, Polat A. Evaluation of radiographic measurements of the wrist in the Turkish population. J Surg Med. 2022;6:36–42.
MLA Yalçın, Atilla and Abdulkadir Polat. “Evaluation of Radiographic Measurements of the Wrist in the Turkish Population”. Journal of Surgery and Medicine, vol. 6, no. 1, 2022, pp. 36-42, doi:10.28982/josam.938799.
Vancouver Yalçın A, Polat A. Evaluation of radiographic measurements of the wrist in the Turkish population. J Surg Med. 2022;6(1):36-42.