Comparison of Radiographic Measurement Parameters of the Wrist in Patients with and without Scaphoid Fracture after Fall on an Outstretched Hand.

IF 0.4 4区医学 Q4 ORTHOPEDICS

Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca Pub Date : 2024-01-01 DOI:10.55095/achot2024/021

T Bulut, U Akgun, G Yildiz, M Gursoy, Y Onder

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引用次数: 0

Abstract

Purpose of the study: To investigate the effects of anatomical variations on the mechanism of scaphoid fracture by comparing the radiologic parameters of the wrist of patients with and without scaphoid fracture after a fall on an outstretched hand.

Material and methods: Cross-sectional comparative retrospective analysis of radiographs of patients with (Group 1, n=169) and without scaphoid fracture (Group 2, n=188). Morphometric data were measured including radial inclination (RI), radial height (RH), ulnar variance (UV), carpal height (CH) ratio, revised carpal height (RCH) ratio and palmar tilt of the distal radius (PT). Receiver operating characteristics (ROC) curve analysis was used to assess the diagnostic performance for each variable with statistically significant difference.

Results: The mean RI and PT degrees and RH length were statistically significantly higher, and the mean UV was lower in Group 1 compared to Group 2. No difference was determined between the groups with respect to the CH ratio and RCH ratio. With ROC curve analysis, the cut-off value with the highest odds ratio was determined as RH (Cut-off value=10.77 mm, OR=21.886).

Conclusions: Although higher RI, RH, PT values and more negative ulnar variance were observed in the scaphoid fracture group compared to the non-fracture group, ROC curve analysis showed that only increased RH can be considered as a possible risk factor for scaphoid fractures after fall on an outstretched hand.

Key words: radiographs, risk factor, scaphoid fracture, wrist morphology.

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伸手跌倒后患有和未患肩胛骨骨折的患者腕部 X 射线测量参数的比较。

研究目的通过比较伸手跌倒后有肩胛骨骨折和无肩胛骨骨折患者的腕部影像学参数，研究解剖变异对肩胛骨骨折机制的影响：对有肩胛骨骨折患者（第1组，169人）和无肩胛骨骨折患者（第2组，188人）的X光片进行横断面回顾性对比分析。测量的形态测量数据包括桡侧倾斜度（RI）、桡侧高度（RH）、尺侧方差（UV）、腕高（CH）比值、修正腕高（RCH）比值和桡骨远端掌侧倾斜度（PT）。采用受试者操作特征曲线（ROC）分析来评估每个变量的诊断性能，结果显示差异具有统计学意义：结果：与第 2 组相比，第 1 组的平均 RI 和 PT 度以及 RH 长度明显更高，平均 UV 更低。通过 ROC 曲线分析，判定 RH 临界值的几率最高（临界值=10.77 mm，OR=21.886）：尽管与非骨折组相比，肩胛骨骨折组的 RI、RH、PT 值更高，尺侧负方差更大，但 ROC 曲线分析表明，只有 RH 的增加可被视为伸手跌倒后肩胛骨骨折的可能风险因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca ORTHOPEDICS-

CiteScore

0.70

自引率

25.00%

发文量

期刊介绍： Editorial Board accepts for publication articles, reports from congresses, fellowships, book reviews, reports concerning activities of orthopaedic and other relating specialised societies, reports on anniversaries of outstanding personalities in orthopaedics and announcements of congresses and symposia being prepared. Articles include original papers, case reports and current concepts reviews and recently also instructional lectures.