ArticleActa bio-medica : Atenei Parmensis2021
Dorsally displaced distal radius fractures: introduction of Pacetti's line as radiological measurement to predict dorsal fracture displacement.
Article in Acta bio-medica : Atenei Parmensis, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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3 citing papers in PubMed.
- Second Metacarpal Index as a Predictor of Secondary Displacement in Conservatively Treated Distal Radius Fractures.Medicina (Kaunas, Lithuania) · 2026Article
- Management of Dupuytren disease of the little finger.Journal of orthopaedic surgery and research · 2025Article
- Update on surgical procedures for carpal tunnel syndrome: What is the current evidence and practice? What are the future research directions?World journal of orthopedics · 2023Review
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7 authors.
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Abstract
background and aim of the workIn the best of our knowledge there is not yet in the literature a measurement able to assess post reduction stability of distal radius fractures.
aimto study the relationship between our newly introduced Pacetti's line, anatomical reduction of DRFs and post-reduction stability of fractures.
methodsPatients/Participants: 230 patients (122men, 108women) who sustained a dorsally displaced distal radius fracture. Close reduction procedures attempted; below elbow cast applied. FOLLOW-UP: Pacetti's line used on true AP and lateral view xrays after reduction and casting (T0) and at 7-14 days (T1-T2). MAIN OUTCOME MEASUREMENTS: Assessment and prediction of early displacement of DRFs.
resultsThe Pacetti's line intersected the lunate bone in 162 cases (70.4%) after anatomical reduction, of which 20.4% (N=33) lost anatomical reduction. Cramer's V test: significant relationship between transition of Pacetti's line through the semilunar bone and stability of anatomical reduction at T0 follow-up (p<0.001, Cramer's value=0.83). The Pacetti's line intersected the lunate bone in 119 cases (51.7%) at 7-14 days follow-up. None of patients lost anatomical reduction. Cramer's V test: significant relationship between transition of Pacetti's line through the semilunar bone and stability anatomical reduction at T1 and T2 follow-up (p<0.001, Cramer's value=0.73).
conclusionsWe strongly recommend the use of the Pacetti's line as it seems to provide reliable prediction of further fracture displacement and consequently of definitive management. The Pacetti's line seems to represent a very useful tool providing simple, feasible, efficient and reliable information on DRFs characteristics and natural course.
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