Shams-ur Rehman, Waqar Alam, Muhammad Siraj, Malik Javed Iqbal, Saeed Ahmed.
Radiographic measurements of the distal radius in Pakistani population.
Pak J Surg Jan ;32(1):33-8.

Background: Distal radius radiographic anatomy (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. If distal radial anatomy is not properly restored in patients with wrist trauma, function of the hand may remain poor even aft er healing. Currently, treatment of distal radius fractures in Pakistan is still based on radiographic parameters of western population or from the contralateral side. Th e aim of this study is to determine distal radius radiographic measurements of Pakistani population and to compare between male and female gender. Methods: Distal radius radiographic parameters were measured from 400 plain X-ray of wrist in AP and lateral projection. Samples were taken consecutively from patients with distal radius fracture of unilateral wrist, presenting to the Department of Orthopedics Khalifa Gul Nawaz Teaching Hospital, Bannu from 1st January 2013 to 1st October 2013. Radial inclination, palmar tilt, radial height, and ulnar variance was measured. Data were recorded using tables and grouped between male and female, 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 (20-50). Th e 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. Th ere was statistically signifi cant diff erence between male and female. Conclusion: Distal radius radiographic anatomy of Pakistani population may provide valuable data for the treatment of distal radius fractures. Th e use of contralateral side as reference should be reconsidered.

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