ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2024
Traditional radiography versus computed tomography to assess reduced distal radius fractures.
Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Emergency Medicine Management of Distal Radius and Ulna Fractures: Narrative Review.The western journal of emergency medicine · 2026Review
- Can surgeons accurately estimate loss of threshold alignment (instability) of distal radius fractures? : the influence of imaging diagnostic accuracy of radiographs compared with CT.Bone & joint open · 2026Article
- Comparison of 2D and 3D fluoroscopy for intraoperative detection of intra-articular incongruities in distal radius fractures.Journal of orthopaedic surgery and research · 2025Article
- Long-term patient-reported outcomes after nonoperative treatment of distal radial fractures: what CT-based gaps and step-offs can be accepted?European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- A Novel Method to Represent the Three-Dimensional Inclination of the Distal Radius Joint Surface.Diagnostics (Basel, Switzerland) · 2025Article
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Authors and funding
5 authors.
Funding
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Abstract
introductionThis study compares computed tomography (CT) with plain radiography in its ability to assess distal radius fracture (DRF) malalignment after closed reduction and cast immobilization.
methodsMalalignment is defined as radiographic fracture alignment beyond threshold values according to the Dutch guideline encompassing angulation, inclination, positive ulnar variance and intra-articular step-off or gap. After identifying 96 patients with correct alignment on initial post-reduction radiographs, we re-assessed alignment on post-reduction CT scans.
resultsSignificant discrepancies were found between radiographs and CT scans in all measurement parameters. Notably, intra-articular step-off and gap variations on CT scans led to the reclassification of the majority of cases from correct alignment to malalignment. CT scans showed malalignment in 53% of cases, of which 73% underwent surgery.
conclusionWhen there is doubt about post-reduction alignment based on radiograph imaging, additional CT scanning often reveals malalignment, primarily due to intra-articular incongruency.
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