ArticleEuropean radiology experimental2021
The effect of forearm rotation on radiographic measurements of the wrist: an experimental study using radiostereometric analyses on cadavers.
Article in European radiology experimental, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 15 citations in OpenAlex.
- Distal radius fracture - Supination underestimates dorsal tilt in distal radius fracture radiographs: a case report.Emergency radiology · 2025Article
- Comparison of Marker-Based RSA and CT-RSA for Analyzing Micromotions After Distal Radius Osteotomy: A 1-Year Retrospective Study of 24 Patients.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2025Article
- Ulnar variance - Reliability of three different methods of measurement.Journal of clinical imaging science · 2025Article
- Intraoperative fluoroscopy skills in distal radius fracture surgery: valid and reliable assessment on a novel immersive virtual reality simulator.Acta orthopaedica · 2024Article
- The cost of perfection: An investigation into the unnecessary rejection of clinically acceptable lateral wrist imaging.Journal of medical radiation sciences · 2023Review
- Accuracy of radiographic measurements of fracture-induced deformity in the distal radius.Acta radiologica open · 2023Article
- Observer agreement of volar tilt of the wrist is influenced by forearm rotation.Acta radiologica open · 2023Article
- 3D wrist imaging - Is it time for superman to retire?Journal of clinical imaging science · 2023Article
- Using virtual reality simulation for training practical skills in musculoskeletal wrist X-ray - A pilot study.Journal of clinical imaging science · 2023Article
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAlthough dorsal/palmar tilt, radial inclination (RI), and ulnar variance (UV) are measurements commonly performed in wrist radiographs, the impact of forearm rotation on those measurements during the radiographic procedure is uncertain. Our aim was to determine the impact of supination and pronation on the reliability of measurements of tilt, RI, and UV.
methodsTantalum markers were inserted into the distal radius of 21 unfractured cadaver forearms. The forearms were radiographed in different degrees of supination and pronation. The exact degree of rotation was calculated with radiostereometric analyses. Tilt, RI, and UV were measured by two independent readers in a random and anonymised fashion. Association between forearm rotation and radiographic measurements was examined using linear regression.
resultsForearm rotation significantly impacted the radiographically measured tilt. One degree of supination and pronation respectively increased and decreased palmar tilt with 0.68° and 0.44°, observers 1 and 2, respectively. As opposed to observer 1, observer 2 found that RI was significantly impacted by rotation with a slope of 0.08. Ulnar variance was not significantly impacted by rotation with linear regression slopes of 0.01° (95% confidence interval [CI] - 0.02-0.05, p = 0.490) and 0.02° (95% CI - 0.02-0.07; p = 0.288), observer 1 and observer 2, respectively.
conclusionIn unfractured forearms, the radiographically measured tilt was significantly affected by rotation. Palmar tilt increased with supination and decreased with pronation. Rotation significantly affected radial inclination, although of a magnitude that is probably not clinically relevant. No significant impact on UV was found.
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