Distal radius morphometry of Indonesian population

  • Syaiful A. Hadi Department of Orthopaedic & Traumatology, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia
  • Wijiono Wijiono Department of Orthopaedic & Traumatology, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia
Abstract viewed: 699 times
PDF downloaded: 452 times

Abstract

Background: Distal radius morphometry (radial inclination, palmar tilt, radial height, and ulnar variance) is an important parameter in the evaluation and treatment of distal radius fractures in which anatomical alignment must be corrected. Currently, treatment of distal radius fractures in Indonesia is still based on morphometry of western population or from the contralateral side. The aim of this study is to determine distal radius morphometry of Indonesian population and to compare between right and left side, male and female gender.

Methods: Distal radius morphometry was measured from 400 plain X-ray of right and left wrist AP and lateral projection. Samples were taken consecutively in Moh. Ridwan Meuraksa Army Hospital, Jakarta, from June to September 2010. Radial inclination, palmar tilt, radial height, and ulnar variance was measured. Data were recorded using tables and grouped between male and female, right and left side, statistical analysis was performed using Mann-Whitney test.

Results: From 400 plain X-ray evaluated, there were 300 males and 100 females with the mean age of 25.5 years old (18-48). The mean of radial inclination was 23.99 ± 3.75°, palmar tilt 13.76 ± 4.36°, radial height 11.31 ± 1.66 mm, and ulnar variance -0.45 ± 2.03 mm. There were statistically significant differences between right and left side of radial inclination, palmar tilt, radial height, and ulnar variance. There was also statistically significant difference between male and female.

Conclusion: Distal radius morphometry in Indonesian population may provide valuable data for the treatment of distal radius fractures. The use of contralateral side as reference should be reconsidered. (Med J Indones. 2013;22:173-7. doi: 10.13181/mji.v22i3.597)

Keywords: morphometry, palmar tilt, radial height, radial inclination, ulnar variance

Downloads

Download data is not yet available.

References

  1. Short WH, Palmer AK, Werner FW, Murphy DJ. A biomechanical study of distal radius fractures. J Hand Surg Am. 1987;12(4):529-34. http://dx.doi.org/10.1016/S0363-5023(87)80202-2

  2. Palmer AK, Werner FW. Biomechanics of the distal radioulnar joint. Clin Orthop Relat Res. 1984;187:26-35.

  3. Austin L, Veillette C. Distal radius fracture. In: Orthopedia-collaborative orthopaedic knowledgebase. 2009;13:26

  4. Nana AD, Joshi A, Lichtman DM. Plating of the distal radius. J Am Acad Orthop Surg. 2005;13(3):159-71.

  5. Sandjaja G. Gambaran nilai rata-rata aksis sudut radius distal normal pada pengunjung di RSCM [thesis]. Mount Pleasant (MI): Universitas Indonesia; 1993. Indonesian.

  6. Hollevoet N, van Maele G, van Seymortier P, Verdonk R. Comparison of palmar tilt, radial inclination, and ulnar variance in right and left wrists. J Hand Surg Br. 2000;25(5):431-3. http://dx.doi.org/10.1054/jhsb.2000.0466

  7. Miyake T, Hashizume HI, Inoue H, Shi Q, Nagayama N. Malunited colles fracture, analysis of stress distribution. J Hand Surg Br. 1994;19(6):737-42. http://dx.doi.org/10.1016/0266-7681(94)90248-8

  8. Pogue DJ, Viegas SF, Patterson RM, et al. Effect of distal radius fracture malunion on wrist joint mechanics. J Hand Surg Am. 1990;15(5):721-7. http://dx.doi.org/10.1016/0363-5023(90)90143-F

  9. Adams BD. Effects of radial deformity on distal radioulnar joint mechanics. J Hand Surg Am. 1993;18(3):492-8. http://dx.doi.org/10.1016/0363-5023(93)90098-N

  10. De Smet L. Ulnar variance: facts and fiction review article. Acta Orthop Belg. 1994;60(1):1-9.

  11. Gartland JJ, Werley CW. Evaluation of healed colles’ fractures. J Bone Joint Surg Am. 1951;33A(4):895-907.

  12. Altissimi M, Attenucci R, Fiacca C, Mancini GB. Long term results of conservative treatment of fractures of the distal radius. Clin Orthop Relat Res. 1986;206:202-10.

  13. Szabo RM. Distal radioulnar joint instability. J Bone Joint Surg Am. 2006;88(4):884-94.

  14. Downing ND, Karantana A. Aspects of current management: a revolution in the management of fractures of the distal radius. J Bone Joint Surg Br. 2008;90(10):1271-5. http://dx.doi.org/10.1302/0301-620X.90B10.21293

Published
2013-08-23
How to Cite
1.
Hadi SA, Wijiono W. Distal radius morphometry of Indonesian population. Med J Indones [Internet]. 2013Aug.23 [cited 2019Aug.22];22(3):173-7. Available from: http://mji.ui.ac.id/journal/index.php/mji/article/view/587
Section
Clinical Research