Acta chirurgiae orthopaedicae
et traumatologiae Čechoslovaca

Acta Chir Orthop Traumatol Cech. 2024; 91(3):156-163 | DOI: 10.55095/achot2024/021

Porovnání parametrů radiografického měření zápěstí u pacientů s a bez zlomeniny scaphoidea po pádu na nataženou ruku

T. BULUT¹, U. AKGUN², G. YILDIZ³, M. GURSOY⁴, Y. ONDER¹

¹ Izmir Katip Celebi University, Ataturk Training and Research Hospital, Department of Orthopaedics and Traumatology, Izmir, Turkey

² Mugla Sitki Kocman University, Faculty of Medicine, Department of Orthopaedics and Traumatology, Mugla, Turkey

³ Izmir Democracy University, Buca Seyfi Demirsoy Training and Research Hospital, Department of Orthopaedics and Traumatology, Izmir, Turkey

⁴ Izmir Katip Celebi University, Faculty of Medicine, Department of Radiology, Izmir, Turkey

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.

Klíčová slova: radiographs, risk factor, scaphoid fracture, wrist morphology.

Vloženo: 2. duben 2024; Revidováno: 2. duben 2024; Přijato: 13. červenec 2024; Zveřejněno: 19. červenec 2024  Zobrazit citaci