A structured review addressing the use of radiographic measures of alignment and the definition of acceptability in patients with distal ... View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2015-12

AUTHORS

Emily A. Lalone, Ruby Grewal, Graham J. W. King, Joy C. MacDermid

ABSTRACT

BACKGROUND: Standard radiographs are routinely used in clinical care to characterize the severity of a distal radius fracture and to monitor patients following a distal radius fracture. The objective of this review was to describe the range and variability of radiographic measures described in the literature in patients following a distal radius fracture. METHODS: A structured literature review was conducted using the Embase and PubMed databases. Inclusion criteria included full-text publications which employed radiographic measures to examine 100 or more participants following a distal radius fracture. A standardized data extraction form was used to identify study design, fracture classification systems, the types of and definitions of radiographic measurements, and acceptability criteria following distal radius fractures. RESULTS: From an initial 263 studies, 31 studies were included in the final data extraction process. A narrative synthesis of the articles included in this review indicated that there was a set of commonly used radiographic measurements examined in patients with a distal radius fracture which included radial inclination, volar/dorsal tilt, intra-articular step/gap, and a measure of ulnar variance/radial shortening. While 52 % of studies referenced or published a standardized measurement technique, there was substantial variability in the actual description of each radiographic measurement performed. CONCLUSIONS: Substantial variability in how radiographic measurements are defined in large clinical studies as seen in this review suggest a need for consensus on the assessment and interpretations of radiographic measures used in patients following a distal radius fracture. Guidelines for radiographic measures should be established to ensure consistency between research and treatment centers. More... »

PAGES

621-638

Journal

TITLE

HAND

ISSUE

4

VOLUME

10

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s11552-015-9772-9

DOI

http://dx.doi.org/10.1007/s11552-015-9772-9

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1031952793

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/26568715


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