Comparison of ultrasound and dorsal horizon radiographic view for the detection of dorsal screw penetration
Objective: The aim of this study was to compare the efficiency of dorsal tangential fluoroscopy and ultrasonography in detecting dorsal screw penetration in distal radius volar locking plate applications. Methods: Ten cadaveric forearms were operated. The distal four screws were protruded 0, 1 and 2...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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AVES
2017-12-01
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| Series: | Acta Orthopaedica et Traumatologica Turcica |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1017995X17301256 |
| _version_ | 1797911298262958080 |
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| author | Yusuf Gurbuz Levent Kucuk Huseyin Gunay Kemal Ozaksar Tahir Sadik Sugun Okan Bilge |
| author_facet | Yusuf Gurbuz Levent Kucuk Huseyin Gunay Kemal Ozaksar Tahir Sadik Sugun Okan Bilge |
| author_sort | Yusuf Gurbuz |
| collection | DOAJ |
| description | Objective: The aim of this study was to compare the efficiency of dorsal tangential fluoroscopy and ultrasonography in detecting dorsal screw penetration in distal radius volar locking plate applications. Methods: Ten cadaveric forearms were operated. The distal four screws were protruded 0, 1 and 2 mm into each of the second, third and fourth dorsal compartments of distal radius. Dorsal horizon views were taken using fluoroscopy. Each radiographic image was evaluated by two orthopedic surgeons who are blinded to procedure. Sonographic evaluations were performed by an orthopedic surgeon blinded to the procedure. Both dorsal horizon view and ultrasonography assessments were noted by the evaluators whether the tip of the screw penetrated or not the dorsal cortex for each compartment. Results: No significant difference was observed on correct detection of 0 mm, 1 mm and 2 mm screw penetrations at second and third compartments. In the fourth compartment, there was no difference with 0 mm and 2 mm penetrations but correct detection accuracy of 1 mm screw penetration was 87% in ultrasonography group and 71% in dorsal horizon view group. Conclusions: The accuracy of ultrasonography on 1 mm penetration at the fourth compartment is better than dorsal horizon view. However, dorsal horizon view and ultrasonography accuracy is similar for the other compartments and penetration levels. Ultrasonography is a reliable and effective procedure for detection of dorsal screw penetrations. Level of evidence: Level III, Diagnostic study. Keywords: Distal radius fracture, Volar plating, Complications, Ultrasound, Tendon rupture |
| first_indexed | 2024-04-10T11:38:23Z |
| format | Article |
| id | doaj.art-34cee3706ed64cc891feddf425b60c44 |
| institution | Directory Open Access Journal |
| issn | 1017-995X |
| language | English |
| last_indexed | 2024-04-10T11:38:23Z |
| publishDate | 2017-12-01 |
| publisher | AVES |
| record_format | Article |
| series | Acta Orthopaedica et Traumatologica Turcica |
| spelling | doaj.art-34cee3706ed64cc891feddf425b60c442023-02-15T16:17:37ZengAVESActa Orthopaedica et Traumatologica Turcica1017-995X2017-12-01516448450Comparison of ultrasound and dorsal horizon radiographic view for the detection of dorsal screw penetrationYusuf Gurbuz0Levent Kucuk1Huseyin Gunay2Kemal Ozaksar3Tahir Sadik Sugun4Okan Bilge5EMOT Hospital, Izmir, TurkeyEge University Department of Orthopedics and Traumatology, Izmir, Turkey; Corresponding author. Ege University Department of Orthopedics and Traumatology, Izmir, Turkey. Fax: +90 2323742878.Ege University Department of Orthopedics and Traumatology, Izmir, TurkeyEMOT Hospital, Izmir, TurkeyEMOT Hospital, Izmir, TurkeyEge University Department of Anatomy, Izmir, TurkeyObjective: The aim of this study was to compare the efficiency of dorsal tangential fluoroscopy and ultrasonography in detecting dorsal screw penetration in distal radius volar locking plate applications. Methods: Ten cadaveric forearms were operated. The distal four screws were protruded 0, 1 and 2 mm into each of the second, third and fourth dorsal compartments of distal radius. Dorsal horizon views were taken using fluoroscopy. Each radiographic image was evaluated by two orthopedic surgeons who are blinded to procedure. Sonographic evaluations were performed by an orthopedic surgeon blinded to the procedure. Both dorsal horizon view and ultrasonography assessments were noted by the evaluators whether the tip of the screw penetrated or not the dorsal cortex for each compartment. Results: No significant difference was observed on correct detection of 0 mm, 1 mm and 2 mm screw penetrations at second and third compartments. In the fourth compartment, there was no difference with 0 mm and 2 mm penetrations but correct detection accuracy of 1 mm screw penetration was 87% in ultrasonography group and 71% in dorsal horizon view group. Conclusions: The accuracy of ultrasonography on 1 mm penetration at the fourth compartment is better than dorsal horizon view. However, dorsal horizon view and ultrasonography accuracy is similar for the other compartments and penetration levels. Ultrasonography is a reliable and effective procedure for detection of dorsal screw penetrations. Level of evidence: Level III, Diagnostic study. Keywords: Distal radius fracture, Volar plating, Complications, Ultrasound, Tendon rupturehttp://www.sciencedirect.com/science/article/pii/S1017995X17301256 |
| spellingShingle | Yusuf Gurbuz Levent Kucuk Huseyin Gunay Kemal Ozaksar Tahir Sadik Sugun Okan Bilge Comparison of ultrasound and dorsal horizon radiographic view for the detection of dorsal screw penetration Acta Orthopaedica et Traumatologica Turcica |
| title | Comparison of ultrasound and dorsal horizon radiographic view for the detection of dorsal screw penetration |
| title_full | Comparison of ultrasound and dorsal horizon radiographic view for the detection of dorsal screw penetration |
| title_fullStr | Comparison of ultrasound and dorsal horizon radiographic view for the detection of dorsal screw penetration |
| title_full_unstemmed | Comparison of ultrasound and dorsal horizon radiographic view for the detection of dorsal screw penetration |
| title_short | Comparison of ultrasound and dorsal horizon radiographic view for the detection of dorsal screw penetration |
| title_sort | comparison of ultrasound and dorsal horizon radiographic view for the detection of dorsal screw penetration |
| url | http://www.sciencedirect.com/science/article/pii/S1017995X17301256 |
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