ArticleActa orthopaedica2017
Classification systems for distal radius fractures.
Article in Acta orthopaedica, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
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Who cites it
24 citing papers in PubMed.
- ESTES recommendations regarding distal radius fractures.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Review
- Does body mass index independently affect functional outcomes after conservatively treated distal radius fractures? a retrospective cohort study.BMC musculoskeletal disorders · 2026Article
- Distal Radius Fracture Classifications in Real Life: Reliability and How They Change Treatment.Journal of hand surgery global online · 2026Article
- POSTOPERATIVE STABILITY AFTER VOLAR LOCKING PLATE IN DISTAL RADIUS FRACTURES.Acta ortopedica brasileira · 2026Article
- [Effectiveness analysis of tension band-assisted fixation for volar marginal fractures of distal radius].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2025Article
- Comparative analysis of closed reduction with external fixation versus closed reduction with percutaneous pinning for distal radius fractures.Scientific reports · 2025Article
- Arthroscopic-Assisted vs. Fluoroscopic-Only ORIF of Distal Radius Fractures: Clinical and Economic Perspectives.Medicina (Kaunas, Lithuania) · 2025Article
- Reliability of distal radius fracture classification systems: a CT based study.Emergency radiology · 2024Article
- Assessment of Reproducibility and Agreement of the IDEAL Classification for Distal Radius Fractures.Revista brasileira de ortopedia · 2024Article
- Establishment and preliminary evaluation of CT-based classification for distal radius fracture.Scientific reports · 2024Article
- Evaluation of a 3D-printed hands-on radius fracture model during teaching courses.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- Article
- Trends in the Utilization of Computed Tomography in Operative Treatment of Distal Radius Fractures.Journal of hand surgery global online · 2023Article
- The role of 3-dimensional printed models in the management of the distal radius fractures.Acta orthopaedica et traumatologica turcica · 2023Article
- Evaluation of Intra- and Interobserver Reproducibility of the New AO/OTA Classification for Distal Radius Fractures Compared with the Fernandez Classification.Revista brasileira de ortopedia · 2022Article
- Standard radiographic assessments of distal radius fractures miss involvement of the distal radioulnar joint: a diagnostic study.Archives of orthopaedic and trauma surgery · 2022Article
- Poor reliability and reproducibility of 3 different radiographical classification systems for distal ulna fractures.Acta orthopaedica · 2022Article
- Functional Outcome of Joshi's External Stabilization System Fixation in Distal Radius Fractures.Cureus · 2022Article
- Association of secondary displacement of distal radius fractures with cortical bone quality at the distal radius.Archives of orthopaedic and trauma surgery · 2021Article
- Validity of classification of distal radial fractures in the Swedish fracture register.BMC musculoskeletal disorders · 2021Article
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background and purpose - The reliability of conventional radiography when classifying distal radius fractures (DRF) is fair to moderate. We investigated whether reliability increases when additional computed tomography scans (CT) are used. Patients and methods - In this prospective study, we performed pre- and postreduction posterior-anterior and lateral radiographs of 51 patients presenting with a displaced DRF. The case was included when there was a (questionable) indication for surgical treatment and an additional CT was conducted within 5 days. 4 observers assessed the cases using the Frykman, Fernández, Universal, and AO classification systems. The first 2 assessments were performed using conventional radiography alone; the following 2 assessments were performed with an additional CT. We used the intraclass correlation coefficient (ICC) to evaluate reliability. The CT was used as a reference standard to determine the accuracy. Results - The intraobserver ICC for conventional radiography alone versus radiography and an additional CT was: Frykman 0.57 vs. 0.51; Fernández 0.53 vs. 0.66; Universal 0.57 vs. 0.64; AO 0.59 vs. 0.71. The interobserver ICC was: Frykman: 0.45 vs. 0.28; Fernández: 0.38 vs. 0.44; Universal: 0.32 vs. 0.43; AO: 0.46 vs. 0.40. Interpretation - The intraobserver reliability of the classification systems was fair but improved when an additional CT was used, except for the Frykman classification. The interobserver reliability ranged from poor to fair and did not improve when using an additional CT. Additional CT scanning has implications for the accuracy of scoring the fracture types, especially for simple fracture types.
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