ArticleBMC medical imaging2016
Reliability of radiographic measurements for acute distal radius fractures.
Article in BMC medical imaging, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed, 41 citations in OpenAlex.
- ESTES recommendations regarding distal radius fractures.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Review
- Automatic Assessment of Radiological Parameters of the Distal Radius Using a Hybrid Approach Combining Deep Learning and a Computer-Aided Diagnostic Algorithm.Clinics in orthopedic surgery · 2025Article
- Radiographic outcomes of dorsal spanning plate with and without volar plate fixation for comminuted intraarticular distal radius fractures.Journal of clinical orthopaedics and trauma · 2025Article
- Use of cannulated screws in the treatment of unicondylar humeral condylar fractures in dogs.Veterinary surgery : VS · 2025Article
- Traditional radiography versus computed tomography to assess reduced distal radius fractures.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- Functional outcomes are restored a decade after a distal radius fracture: a prospective long-term follow-up study.The Journal of hand surgery, European volume · 2024Article
- Association between imaging parameter changes and triangular fibrocartilage complex injury after distal radius fractures.Journal of orthopaedic surgery and research · 2023Article
- Initial and Residual 3D Fracture Displacement Is Predictive for Patient-Reported Functional Outcome at Mid-Term Follow-Up in Surgically Treated Tibial Plateau Fractures.Journal of clinical medicine · 2023Article
- Transparency films: intraoperative templating to prevent limb deformity.OTA international : the open access journal of orthopaedic trauma · 2023Article
- Risk Factors for the Incidence of the Volar Lunate Facet Fragments in Distal Radius Fractures.Journal of wrist surgery · 2023Article
- Intra- and inter-observer agreement in distal radius fracture dislocation measurement of casting position.Acta orthopaedica · 2023Article
- Radiographic Outcomes for Comminuted, Intra-articular Distal Radius Fractures Treated with Primary Distraction Bridge Plate Fixation.Indian journal of orthopaedics · 2023Article
- A retrospective comparison of clinical and radiological outcomes using palmar or dorsal plating to treat complex intraarticular distal radius fractures (AO 2R3 C3).European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Testing a new method of osteosynthesis of forearm fractures in children; a prospective randomized controlled longitudinal study.Journal of children's orthopaedics · 2022Article
- Does circumferential casting prevent fracture redisplacement in reduced distal radius fractures? A retrospective multicentre study.Journal of orthopaedic surgery and research · 2021Article
- Dorsally displaced distal radius fractures: introduction of Pacetti's line as radiological measurement to predict dorsal fracture displacement.Acta bio-medica : Atenei Parmensis · 2021Article
- The effect of forearm rotation on radiographic measurements of the wrist: an experimental study using radiostereometric analyses on cadavers.European radiology experimental · 2021Article
- Comparison of fracture healing and long-term patient-reported functional outcome between dorsal and volar plating for AO C3-type distal radius fractures.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2020Article
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Authors and funding
6 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe management of distal radial fractures is guided by the interpretation of radiographic findings. The aim of this investigation was to determine the intra- and inter-observer reliability of eight traditionally reported anatomic radiographic parameters in adults with an acute distal radius fracture.
methodsFive observers participated. All were routinely involved in making treatment decisions based on distal radius fracture radiographs. Observers performed independent repeated measurements on 30 radiographs for eight anatomical parameters: dorsal shift (mm), intra-articular gap (mm), intra-articular step (mm), palmar tilt (degrees), radial angle (degrees), radial height (mm), radial shift (mm), ulnar variance (mm). Intraclass correlation coefficients (ICCs) and the magnitude of retest errors were calculated.
resultsMeasurement reliability was summarised as high (ICC > 0.80), moderate (0.60-0.80) or low (<0.60). Intra-observer reliability was high for dorsal shift and palmar tilt; moderate for radial angle, radial height, ulnar variance and radial shift; and low for intra-articular gap and step. Inter-observer reliability was high for palmar tilt; moderate for dorsal shift, ulnar variance, radial angle and radial height; and low for radial shift, intra-articular gap and step. Error magnitude (95 % confidence interval) was within 1-2 mm for intra-articular gap and step, 2-4 mm for ulnar variance, 4-6 mm for radial shift, dorsal shift and radial height, and 6-8° for radial angle and palmar tilt.
conclusionsBased on previous reports of critical values for palmar tilt, ulnar variance and radial angle, error margins appear small enough for measurements to be useful in guiding treatment decisions. Our findings indicate that clinicians cannot reliably measure values ≤1 mm for intra-articular gap and step when interpreting radiographic parameters using the standardised methods investigated in this study. As a guide for treatment selection, palmar tilt, ulnar variance and radial angle measurements may be useful, but intra-articular gap and step appear unreliable.
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