Distal radius fluoroscopic skyline view: extension–supination versus flexion–supination
- 26 Downloads
The aim of our study was to compare the vertical fluoroscopic view of the wrist in extension and supination (ES) to the view in flexion and supination (FS) and determine which of the two views allowed the best visualization of four selected anatomical landmarks SDLR (radial styloid, dorsal radius cortex, Lister’s tubercle and distal radioulnar joint). Our case series included 50 patients who had suffered a distal radius fracture and undergone an open reduction and internal fixation procedure with a volar locking plate. For each case, two fluoroscopic views were taken: ES (wrist extension and supination) (group I) and FS (wrist flexion and supination) (group II). Ten observers had to recognize the SDLR anatomical landmarks on 100 fluoroscopic skyline views (time 1) and 15 days later (time 2). The rate of recognition of the four anatomical landmarks was 78% in group I and 66% in group II (p < 0.001). The concordance rate of recognition of the four anatomical landmarks was mediocre (κ = 0.411). In conclusion, the vertical fluoroscopic skyline view in wrist extension and supination seems to be the most adequate view to assess the quality of the fracture reduction, the distal radioulnar joint and the length of the screws in open reduction and internal fixation of distal radius fractures with volar locking plates.
KeywordsSkyline Dorsal tangential view Distal radius
François Séverac, Pôle de Santé publique, Secteur méthodologie et Biostatistiques, Hôpitaux Universitaires de Strasbourg, qui a réalisé l’étude statistique.
Compliance with ethical standards
Conflict of interest
Philippe Liverneaux has conflicts of interest with Newclip Technics, Argomedical, Zimmer Biomet and Biomodex. None of the other authors have conflicts of interest.
- 5.Herrison O, Delaroche C, Maillot-Roy S, Sautet A, Doursounian L, Cambo-Binder A (2017) Comparison of lateral and skyline fluoroscopic views for detection of prominent screws in distal radius fractures plating: results of an ultrasonographic study. Arch Orthop Trauma Surg 137:1357–1362CrossRefGoogle Scholar
- 6.Vernet P, Durry A, Nicolau X, D’Ambrosio A, Collinet A, Salazar Botero S, Liverneaux P, Hidalgo Diaz JJ (2017) Detection of penetration of the dorsal cortex by epiphyseal screws of distal radius volar plates: anatomical study comparing ultrasound and fluoroscopy. Orthop Traumatol Surg Res 103:911–913CrossRefGoogle Scholar
- 13.Jacob J, Clay NR (2009) Re: Pichler et al. Computer tomography aided 3D analysis of the distal dorsal radius surface and the effects on volar plate osteosynthesis. J Hand Surg Eur 34:598–602. J Hand Surg Eur 2010;35:335–336Google Scholar