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. 2024 Jun 24;58(9):1248-1253.
doi: 10.1007/s43465-024-01209-0. eCollection 2024 Sep.

Radiologic Evaluation of the Distal End Radius Indices in Indian Paediatric Population

Binoti Sheth  1 , Neeraj Kalra  1 , Rajan Gupta  1 , Aibin Michael  1
Affiliations

Radiologic Evaluation of the Distal End Radius Indices in Indian Paediatric Population

Binoti Sheth et al. Indian J Orthop. .

Abstract

Background: The distal end radius's bony anatomy in relation to three variables-Radial Inclination, Volar tilt, and radial height-has been discussed commonly in the adult population and is not very well defined in the growing skeleton. In children aged 8-16 years old, we measured the osseous distal end radius according to radiography standards. The research comprised 130 patients, 65 males and 65 females aged 8-16. In each child, the norms for radial inclination, volar tilt, and radial epiphyseal height were established. This research defines these radiographic parameters for the paediatric population in India for the first time.

Methods: This research is an Unicentric Cross-sectional observational analytical study. We studied 130 normal wrist posteroanterior and lateral radiographs of the Indian paediatric population aged 8-16 years who reported to our OPD and calculated the three parameters-(1) Radial height, (2) Volar Tilt, and (3) Radial Inclination. Mean measurement values were analysed statistically.

Results: The Mean distal end radius volar tilt is 10.92° ± 1.76° SD with a range from 4° to 15°. The Mean distal end radial inclination is 21.04° ± 2.10° SD with a range from 15° to 25°. The Mean distal end radial height is 11.93 ± 1.44 mm SD with a range from 9.0 to 14.50 mm.

Conclusion: In true Postero-anterior and lateral wrist radiographs of the Indian paediatric population, we have established normal values that may be utilized as a guide for the evaluation and treatment of a variety of traumatic and non-traumatic problems in Indian children.

Keywords: Distal radius; Epiphysis; Radial inclination; Volar tilt.

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Conflict of interest statement

Conflict of InterestOn behalf of all authors, the corresponding author states that there is no conflict of interest.

Figures

Fig. 1
Fig. 1
True lateral view showing measurement of volar tilt on AGFA workstation
Fig. 2
Fig. 2
True postero-anterior view of wrist showing measurement of radial inclination angle on AGFA workstation
Fig. 3
Fig. 3
True postero-anterior view of wrist showing measurement of radial height on AGFA workstation
Fig. 4
Fig. 4
Variations of parameters with gender
Fig. 5
Fig. 5
Variations of parameters with age
Fig. 6
Fig. 6
Variations of parameters with age
See this image and copyright information in PMC

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