Ultrasonography or direct radiography? A comparison of two techniques to detect dorsal screw penetration after volar plate fixation
Abstract Background Complications related to extensor tendons have begun to increase with the use of volar plates in the treatment of distal radius fractures. In this study, we aimed to compare four-plane radiography and ultrasonography in the evaluation of dorsal cortex screw penetration following...
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| Format: | Article |
| Language: | English |
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BMC
2018-04-01
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| Series: | Journal of Orthopaedic Surgery and Research |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13018-018-0774-5 |
| _version_ | 1798040787346259968 |
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| author | Yunus Oc Bekir Eray Kilinc Anıl Gulcu Ali Varol Rodi Ertugrul Adnan Kara |
| author_facet | Yunus Oc Bekir Eray Kilinc Anıl Gulcu Ali Varol Rodi Ertugrul Adnan Kara |
| author_sort | Yunus Oc |
| collection | DOAJ |
| description | Abstract Background Complications related to extensor tendons have begun to increase with the use of volar plates in the treatment of distal radius fractures. In this study, we aimed to compare four-plane radiography and ultrasonography in the evaluation of dorsal cortex screw penetration following volar plate fixation. Methods We recruited 47 patients (33 males, 14 females, mean age 37.4 years; range 18–58 years). To evaluate dorsal screw penetration in all patients, we performed radiographs at 45° pronation, 45° supination and obtained dorsal tangential graphs at maximum palmar flexion, and a wrist lateral radiograph. Wrist ultrasonography was performed in all patients. Results Dorsal screw penetration was detected in 12 of the 47 patients undergoing VLP application. While there was > 2 mm screw penetration in seven patients, there was < 2 mm screw penetration in five patients. On four-plane radiographs, screw penetration > 2 mm was detected in seven patients and screw penetration < 2 mm was detected in two patients. On four-plane radiography, dorsal screw penetration was not detected in three out of five patients, who were shown to have < 2 mm screw penetration by ultrasonography. In addition to perioperative four-plane radiographs are also required to detect dorsal cortex penetration in patients undergoing VLP due to distal radius fracture. However, the detection of screw penetrations < 2 mm is more likely with ultrasonography compared to four-plane radiography. Conclusion We recommend that dorsal cortex screw penetration should be evaluated with perioperative ultrasonography. Trial registration Research Registry, researchregistry3344, Registered 10 January 2017 |
| first_indexed | 2024-04-11T22:12:30Z |
| format | Article |
| id | doaj.art-4989522bea424c5f974b9721048fcca3 |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-04-11T22:12:30Z |
| publishDate | 2018-04-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-4989522bea424c5f974b9721048fcca32022-12-22T04:00:31ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2018-04-011311710.1186/s13018-018-0774-5Ultrasonography or direct radiography? A comparison of two techniques to detect dorsal screw penetration after volar plate fixationYunus Oc0Bekir Eray Kilinc1Anıl Gulcu2Ali Varol3Rodi Ertugrul4Adnan Kara5Sisli Hamidiye Etfal Training and Research HospitalGolhisar State HospitalAlaaddin Keykubat UniversitySilopi State HospitalKilis State HospitalMedipol UniversityAbstract Background Complications related to extensor tendons have begun to increase with the use of volar plates in the treatment of distal radius fractures. In this study, we aimed to compare four-plane radiography and ultrasonography in the evaluation of dorsal cortex screw penetration following volar plate fixation. Methods We recruited 47 patients (33 males, 14 females, mean age 37.4 years; range 18–58 years). To evaluate dorsal screw penetration in all patients, we performed radiographs at 45° pronation, 45° supination and obtained dorsal tangential graphs at maximum palmar flexion, and a wrist lateral radiograph. Wrist ultrasonography was performed in all patients. Results Dorsal screw penetration was detected in 12 of the 47 patients undergoing VLP application. While there was > 2 mm screw penetration in seven patients, there was < 2 mm screw penetration in five patients. On four-plane radiographs, screw penetration > 2 mm was detected in seven patients and screw penetration < 2 mm was detected in two patients. On four-plane radiography, dorsal screw penetration was not detected in three out of five patients, who were shown to have < 2 mm screw penetration by ultrasonography. In addition to perioperative four-plane radiographs are also required to detect dorsal cortex penetration in patients undergoing VLP due to distal radius fracture. However, the detection of screw penetrations < 2 mm is more likely with ultrasonography compared to four-plane radiography. Conclusion We recommend that dorsal cortex screw penetration should be evaluated with perioperative ultrasonography. Trial registration Research Registry, researchregistry3344, Registered 10 January 2017http://link.springer.com/article/10.1186/s13018-018-0774-5Distal radiusUltrasonic evaluationVolar platingDorsal cortex penetrationScrew penetration |
| spellingShingle | Yunus Oc Bekir Eray Kilinc Anıl Gulcu Ali Varol Rodi Ertugrul Adnan Kara Ultrasonography or direct radiography? A comparison of two techniques to detect dorsal screw penetration after volar plate fixation Journal of Orthopaedic Surgery and Research Distal radius Ultrasonic evaluation Volar plating Dorsal cortex penetration Screw penetration |
| title | Ultrasonography or direct radiography? A comparison of two techniques to detect dorsal screw penetration after volar plate fixation |
| title_full | Ultrasonography or direct radiography? A comparison of two techniques to detect dorsal screw penetration after volar plate fixation |
| title_fullStr | Ultrasonography or direct radiography? A comparison of two techniques to detect dorsal screw penetration after volar plate fixation |
| title_full_unstemmed | Ultrasonography or direct radiography? A comparison of two techniques to detect dorsal screw penetration after volar plate fixation |
| title_short | Ultrasonography or direct radiography? A comparison of two techniques to detect dorsal screw penetration after volar plate fixation |
| title_sort | ultrasonography or direct radiography a comparison of two techniques to detect dorsal screw penetration after volar plate fixation |
| topic | Distal radius Ultrasonic evaluation Volar plating Dorsal cortex penetration Screw penetration |
| url | http://link.springer.com/article/10.1186/s13018-018-0774-5 |
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