Rotational deformity in malunited fractures of the distal radius
To evaluate rotational deformity in malunited fractures of the distal radius and its efffect on forearm rotation. Thirty-seven patients with a symptomatic malunion of the distal radius (25 with dorsal angulation and 12 with volar angulation) were assessed for rotational deformity of the distal fragm...
Gespeichert in:
| Veröffentlicht in: | The Journal of hand surgery (American ed.) 2004, Vol.29 (1), p.110-115 |
|---|---|
| Hauptverfasser: | , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 115 |
|---|---|
| container_issue | 1 |
| container_start_page | 110 |
| container_title | The Journal of hand surgery (American ed.) |
| container_volume | 29 |
| creator | Prommersberger, Karl-Josef Froehner, Steffen C Schmitt, Rainer R Lanz, Ulrich B |
| description | To evaluate rotational deformity in malunited fractures of the distal radius and its efffect on forearm rotation.
Thirty-seven patients with a symptomatic malunion of the distal radius (25 with dorsal angulation and 12 with volar angulation) were assessed for rotational deformity of the distal fragment. Spiral computed tomographic scans were taken of both wrists. Rotational deformity was evaluated by comparing the radial torsion angle of the injured and uninjured sides according to Frahm. Multivariable regression analyses were used to identify the radiologic parameter that had the most important influence on forearm rotation.
Of the 37 patients, 23 showed a rotational deformity of the distal radius. In both dorsally and volarly angulated malunions, pronation and supination deformities were identified. There was a tendency toward more pronation deformities with volar malunion. Volar angulated malunion with a rotational deformity of less than 10° showed the smallest amount of forearm supination. Losses of pronation-supination did not correlate with the amount of rotational deformity.
This study showed that rotational deformity is common with angulated malunions of the distal radius. The effect on forearm rotation should not be overestimated. Pretreatment computed tomographic scanning of both wrists to identify and measure malrotation of the distal radius may be helpful to improve the outcome after corrective osteotomy. |
| doi_str_mv | 10.1016/j.jhsa.2003.09.014 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_80132831</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0363502303005057</els_id><sourcerecordid>80132831</sourcerecordid><originalsourceid>FETCH-LOGICAL-c475t-1471d5d8c428b5f17a42434d2c5b85f0204fa680a8e5142b45289a9855cf9383</originalsourceid><addsrcrecordid>eNp9kE1LHTEUhkNpqbe2f6CLMgh2N-M5-Rgz4KJFbC0IgrgPufnADDMTTTKC_95c7gXBRVdn87zvOech5DtCh4D92diND1l3FIB1MHSA_APZoGDY9qLnH8kGWM9aAZQdkS85jwA1xcRncoT8XCAi25Bfd7HoEuKip8Y6H9McyksTlmbW07qE4mzjkzZlTS430TflwTU25FLxpG1Y81fyyespu2-HeUzu_1zdX163N7d__13-vmlN3VXauhGtsNJwKrfC47nmlDNuqRFbKTxQ4F73ErR0AjndckHloAcphPEDk-yY_NzXPqb4tLpc1ByycdOkFxfXrCQgo5JhBU_egWNcU30vK4ogkOIAFaJ7yKSYc3JePaYw6_SiENTOrRrVzq3auVUwqOq2hn4cmtft7Oxb5CCzAqcHQGejp-ptMSG_cYIzSuXuxIs956qv5-CSyia4xTgbkjNF2Rj-d8crTIOVSg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>210512190</pqid></control><display><type>article</type><title>Rotational deformity in malunited fractures of the distal radius</title><source>MEDLINE</source><source>ScienceDirect Journals (5 years ago - present)</source><creator>Prommersberger, Karl-Josef ; Froehner, Steffen C ; Schmitt, Rainer R ; Lanz, Ulrich B</creator><creatorcontrib>Prommersberger, Karl-Josef ; Froehner, Steffen C ; Schmitt, Rainer R ; Lanz, Ulrich B</creatorcontrib><description>To evaluate rotational deformity in malunited fractures of the distal radius and its efffect on forearm rotation.
Thirty-seven patients with a symptomatic malunion of the distal radius (25 with dorsal angulation and 12 with volar angulation) were assessed for rotational deformity of the distal fragment. Spiral computed tomographic scans were taken of both wrists. Rotational deformity was evaluated by comparing the radial torsion angle of the injured and uninjured sides according to Frahm. Multivariable regression analyses were used to identify the radiologic parameter that had the most important influence on forearm rotation.
Of the 37 patients, 23 showed a rotational deformity of the distal radius. In both dorsally and volarly angulated malunions, pronation and supination deformities were identified. There was a tendency toward more pronation deformities with volar malunion. Volar angulated malunion with a rotational deformity of less than 10° showed the smallest amount of forearm supination. Losses of pronation-supination did not correlate with the amount of rotational deformity.
This study showed that rotational deformity is common with angulated malunions of the distal radius. The effect on forearm rotation should not be overestimated. Pretreatment computed tomographic scanning of both wrists to identify and measure malrotation of the distal radius may be helpful to improve the outcome after corrective osteotomy.</description><identifier>ISSN: 0363-5023</identifier><identifier>EISSN: 1531-6564</identifier><identifier>DOI: 10.1016/j.jhsa.2003.09.014</identifier><identifier>PMID: 14751113</identifier><identifier>CODEN: JHSUDV</identifier><language>eng</language><publisher>New york, NY: Elsevier Inc</publisher><subject>Adult ; Aged ; Biological and medical sciences ; Diseases of the osteoarticular system ; Distal radius ; Female ; Forearm - physiopathology ; fracture ; Fractures, Malunited - diagnostic imaging ; Fractures, Malunited - physiopathology ; Humans ; Male ; malunion ; Medical sciences ; Middle Aged ; osteotomy ; Pronation - physiology ; Prospective Studies ; Radiography ; Radius Fractures - diagnostic imaging ; Radius Fractures - physiopathology ; Regression Analysis ; Rotation ; rotational deformity ; Supination - physiology ; Traumas. Diseases due to physical agents ; Wrist Joint - diagnostic imaging ; Wrist Joint - physiopathology</subject><ispartof>The Journal of hand surgery (American ed.), 2004, Vol.29 (1), p.110-115</ispartof><rights>2004 American Society for Surgery of the Hand</rights><rights>2004 INIST-CNRS</rights><rights>Copyright Churchill Livingstone Inc., Medical Publishers Jan 2004</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c475t-1471d5d8c428b5f17a42434d2c5b85f0204fa680a8e5142b45289a9855cf9383</citedby><cites>FETCH-LOGICAL-c475t-1471d5d8c428b5f17a42434d2c5b85f0204fa680a8e5142b45289a9855cf9383</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jhsa.2003.09.014$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,4024,27923,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=15432281$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/14751113$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Prommersberger, Karl-Josef</creatorcontrib><creatorcontrib>Froehner, Steffen C</creatorcontrib><creatorcontrib>Schmitt, Rainer R</creatorcontrib><creatorcontrib>Lanz, Ulrich B</creatorcontrib><title>Rotational deformity in malunited fractures of the distal radius</title><title>The Journal of hand surgery (American ed.)</title><addtitle>J Hand Surg Am</addtitle><description>To evaluate rotational deformity in malunited fractures of the distal radius and its efffect on forearm rotation.
Thirty-seven patients with a symptomatic malunion of the distal radius (25 with dorsal angulation and 12 with volar angulation) were assessed for rotational deformity of the distal fragment. Spiral computed tomographic scans were taken of both wrists. Rotational deformity was evaluated by comparing the radial torsion angle of the injured and uninjured sides according to Frahm. Multivariable regression analyses were used to identify the radiologic parameter that had the most important influence on forearm rotation.
Of the 37 patients, 23 showed a rotational deformity of the distal radius. In both dorsally and volarly angulated malunions, pronation and supination deformities were identified. There was a tendency toward more pronation deformities with volar malunion. Volar angulated malunion with a rotational deformity of less than 10° showed the smallest amount of forearm supination. Losses of pronation-supination did not correlate with the amount of rotational deformity.
This study showed that rotational deformity is common with angulated malunions of the distal radius. The effect on forearm rotation should not be overestimated. Pretreatment computed tomographic scanning of both wrists to identify and measure malrotation of the distal radius may be helpful to improve the outcome after corrective osteotomy.</description><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Diseases of the osteoarticular system</subject><subject>Distal radius</subject><subject>Female</subject><subject>Forearm - physiopathology</subject><subject>fracture</subject><subject>Fractures, Malunited - diagnostic imaging</subject><subject>Fractures, Malunited - physiopathology</subject><subject>Humans</subject><subject>Male</subject><subject>malunion</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>osteotomy</subject><subject>Pronation - physiology</subject><subject>Prospective Studies</subject><subject>Radiography</subject><subject>Radius Fractures - diagnostic imaging</subject><subject>Radius Fractures - physiopathology</subject><subject>Regression Analysis</subject><subject>Rotation</subject><subject>rotational deformity</subject><subject>Supination - physiology</subject><subject>Traumas. Diseases due to physical agents</subject><subject>Wrist Joint - diagnostic imaging</subject><subject>Wrist Joint - physiopathology</subject><issn>0363-5023</issn><issn>1531-6564</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1LHTEUhkNpqbe2f6CLMgh2N-M5-Rgz4KJFbC0IgrgPufnADDMTTTKC_95c7gXBRVdn87zvOech5DtCh4D92diND1l3FIB1MHSA_APZoGDY9qLnH8kGWM9aAZQdkS85jwA1xcRncoT8XCAi25Bfd7HoEuKip8Y6H9McyksTlmbW07qE4mzjkzZlTS430TflwTU25FLxpG1Y81fyyespu2-HeUzu_1zdX163N7d__13-vmlN3VXauhGtsNJwKrfC47nmlDNuqRFbKTxQ4F73ErR0AjndckHloAcphPEDk-yY_NzXPqb4tLpc1ByycdOkFxfXrCQgo5JhBU_egWNcU30vK4ogkOIAFaJ7yKSYc3JePaYw6_SiENTOrRrVzq3auVUwqOq2hn4cmtft7Oxb5CCzAqcHQGejp-ptMSG_cYIzSuXuxIs956qv5-CSyia4xTgbkjNF2Rj-d8crTIOVSg</recordid><startdate>2004</startdate><enddate>2004</enddate><creator>Prommersberger, Karl-Josef</creator><creator>Froehner, Steffen C</creator><creator>Schmitt, Rainer R</creator><creator>Lanz, Ulrich B</creator><general>Elsevier Inc</general><general>Elsevier</general><general>Elsevier Science Ltd</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>2004</creationdate><title>Rotational deformity in malunited fractures of the distal radius</title><author>Prommersberger, Karl-Josef ; Froehner, Steffen C ; Schmitt, Rainer R ; Lanz, Ulrich B</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c475t-1471d5d8c428b5f17a42434d2c5b85f0204fa680a8e5142b45289a9855cf9383</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Diseases of the osteoarticular system</topic><topic>Distal radius</topic><topic>Female</topic><topic>Forearm - physiopathology</topic><topic>fracture</topic><topic>Fractures, Malunited - diagnostic imaging</topic><topic>Fractures, Malunited - physiopathology</topic><topic>Humans</topic><topic>Male</topic><topic>malunion</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>osteotomy</topic><topic>Pronation - physiology</topic><topic>Prospective Studies</topic><topic>Radiography</topic><topic>Radius Fractures - diagnostic imaging</topic><topic>Radius Fractures - physiopathology</topic><topic>Regression Analysis</topic><topic>Rotation</topic><topic>rotational deformity</topic><topic>Supination - physiology</topic><topic>Traumas. Diseases due to physical agents</topic><topic>Wrist Joint - diagnostic imaging</topic><topic>Wrist Joint - physiopathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Prommersberger, Karl-Josef</creatorcontrib><creatorcontrib>Froehner, Steffen C</creatorcontrib><creatorcontrib>Schmitt, Rainer R</creatorcontrib><creatorcontrib>Lanz, Ulrich B</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of hand surgery (American ed.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Prommersberger, Karl-Josef</au><au>Froehner, Steffen C</au><au>Schmitt, Rainer R</au><au>Lanz, Ulrich B</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Rotational deformity in malunited fractures of the distal radius</atitle><jtitle>The Journal of hand surgery (American ed.)</jtitle><addtitle>J Hand Surg Am</addtitle><date>2004</date><risdate>2004</risdate><volume>29</volume><issue>1</issue><spage>110</spage><epage>115</epage><pages>110-115</pages><issn>0363-5023</issn><eissn>1531-6564</eissn><coden>JHSUDV</coden><abstract>To evaluate rotational deformity in malunited fractures of the distal radius and its efffect on forearm rotation.
Thirty-seven patients with a symptomatic malunion of the distal radius (25 with dorsal angulation and 12 with volar angulation) were assessed for rotational deformity of the distal fragment. Spiral computed tomographic scans were taken of both wrists. Rotational deformity was evaluated by comparing the radial torsion angle of the injured and uninjured sides according to Frahm. Multivariable regression analyses were used to identify the radiologic parameter that had the most important influence on forearm rotation.
Of the 37 patients, 23 showed a rotational deformity of the distal radius. In both dorsally and volarly angulated malunions, pronation and supination deformities were identified. There was a tendency toward more pronation deformities with volar malunion. Volar angulated malunion with a rotational deformity of less than 10° showed the smallest amount of forearm supination. Losses of pronation-supination did not correlate with the amount of rotational deformity.
This study showed that rotational deformity is common with angulated malunions of the distal radius. The effect on forearm rotation should not be overestimated. Pretreatment computed tomographic scanning of both wrists to identify and measure malrotation of the distal radius may be helpful to improve the outcome after corrective osteotomy.</abstract><cop>New york, NY</cop><pub>Elsevier Inc</pub><pmid>14751113</pmid><doi>10.1016/j.jhsa.2003.09.014</doi><tpages>6</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0363-5023 |
| ispartof | The Journal of hand surgery (American ed.), 2004, Vol.29 (1), p.110-115 |
| issn | 0363-5023 1531-6564 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_80132831 |
| source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
| subjects | Adult Aged Biological and medical sciences Diseases of the osteoarticular system Distal radius Female Forearm - physiopathology fracture Fractures, Malunited - diagnostic imaging Fractures, Malunited - physiopathology Humans Male malunion Medical sciences Middle Aged osteotomy Pronation - physiology Prospective Studies Radiography Radius Fractures - diagnostic imaging Radius Fractures - physiopathology Regression Analysis Rotation rotational deformity Supination - physiology Traumas. Diseases due to physical agents Wrist Joint - diagnostic imaging Wrist Joint - physiopathology |
| title | Rotational deformity in malunited fractures of the distal radius |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-07T20%3A48%3A55IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Rotational%20deformity%20in%20malunited%20fractures%20of%20the%20distal%20radius&rft.jtitle=The%20Journal%20of%20hand%20surgery%20(American%20ed.)&rft.au=Prommersberger,%20Karl-Josef&rft.date=2004&rft.volume=29&rft.issue=1&rft.spage=110&rft.epage=115&rft.pages=110-115&rft.issn=0363-5023&rft.eissn=1531-6564&rft.coden=JHSUDV&rft_id=info:doi/10.1016/j.jhsa.2003.09.014&rft_dat=%3Cproquest_cross%3E80132831%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=210512190&rft_id=info:pmid/14751113&rft_els_id=S0363502303005057&rfr_iscdi=true |