Computerized tomographic evaluation of acute distal radial fractures

Computerized tomographic evaluation of acute distal radial fractures

To learn whether computerized tomography offered additional useful information over conventional radiographic evaluation of acute distal radial fractures in the younger adult, we scanned 22 consecutive injured wrists. Of the distal radial fractures in 19 wrists, sixteen were defined on plain films a...

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Bibliographic Details
Published in:The Journal of hand surgery (American ed.) Vol. 17; no. 4; p. 738
Main Authors: Johnston, G H, Friedman, L, Kriegler, J C
Format: Journal Article
Language:English
Published: United States 01-07-1992
Subjects:
Acute Disease
Adolescent
Adult
Carpal Bones - injuries
Female
Fractures, Closed - diagnostic imaging
Humans
Male
Middle Aged
Prospective Studies
Radius - diagnostic imaging
Radius Fractures - diagnostic imaging
Tomography, X-Ray Computed
Wrist Injuries - diagnostic imaging
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Summary:To learn whether computerized tomography offered additional useful information over conventional radiographic evaluation of acute distal radial fractures in the younger adult, we scanned 22 consecutive injured wrists. Of the distal radial fractures in 19 wrists, sixteen were defined on plain films as intra-articular. In contrast, computerized tomography demonstrated that all fractures of the distal radius had intra-articular extension. In 3 wrists interpreted as being normal on plain films, despite clinical suspicion of a fracture, fractures were confirmed by computerized tomography. As a result of computerized tomography, injuries were assigned a higher Frykman value in 5 cases, and consideration of alternative patient management became necessary in 5 of the 22 patients.
ISSN:0363-5023
DOI:10.1016/0363-5023(92)90326-K