X-ray of distal radius fractures

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File:Collesfracture.jpg
Distal radius fracture

Author: Mikael Häggström [notes 1]
In projectional radiography ("X-ray") of a distal radius fracture, the most important findings are displacement and whether there is intra-articular involvement.

Displacement

Volar or dorsal tilt

File:Dorsal tilt of distal radius fracture.jpg
Fracture with a dorsal tilt: Dorsal is left, and volar is right in the image.

The volar is dorsal tilt can be described by an angle from the axial plane of the radius, shown in red in the image at right, and goes between:[1]

Sometimes, the diaphysis of the radius is hard to distinguish from the ulna, and a line between them (turquoise line) may be used instead.[2]

References

  1. Piva Neto, Antonio; Lhamby, Fabio Colla (2011). "Fixação das fraturas da extremidade distal do rádio pela técnica de kapandji modificada: avaliação dos resultados radiológicos ". Revista Brasileira de Ortopedia 46 (4): 368–373. doi:10.1590/S0102-36162011000400004. ISSN 0102-3616. 
  2. Dr Paresh K Desai. Colles fracture. Radiopedia. Retrieved on 2016-12-18.


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