The use of plain radiographs in the classification of distal radius fractures.

Evans, Scott and David, Michael and Quraishi, Mohammed Kamil and Hanif, Umar-Khetaab and Sadique, Hammad and Machani, Bhuvneswar (2014) The use of plain radiographs in the classification of distal radius fractures. Journal of orthopaedics, 11 (3). pp. 142-4. ISSN 0972-978X.

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Abstract

INTRODUCTION

Classification systems guide surgical planning. We reviewed the accuracy of interpreting plain radiographs to classify distal radius fractures.

METHODS

Pre-operative radiographs of 24 consecutive distal radius fractures were classified using Frykman and AO methods. Classification was repeated intra-operatively under direct vision for comparison.

RESULTS

Mean age of the patients was 51 years. Pre-operative Frykman scores and AO grades were underestimated, compared with intra-operative visual classification (p < 0.001). One over-estimate occurred, while only 3 of 24 cases were classified correctly pre-operatively.

CONCLUSION

Sensitivity of radiographs to classify Frykman or AO grades was 12.5%, indicating interpretation using plain radiographs alone is often inadequate.

Item Type:	Article
Subjects:	WE Musculoskeletal. Orthopaedics WN Medical imaging. Radiology
Divisions:	Planned IP Care > Trauma and Orthopaedics
Related URLs:	http://www.ncbi.nlm.nih.gov/pubmed/?term...
Depositing User:	Mrs Yolande Brookes
Date Deposited:	17 Apr 2015 14:07
Last Modified:	17 Apr 2015 14:07
URI:	http://www.repository.heartofengland.nhs.uk/id/eprint/857

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