Comparison of ultrasound and dorsal tangential view for dorsal cortex screw penetration in volar plating of the distal radius

We compared the accuracy of the fluoroscopic dorsal tangential view (DTV) and an ultrasound (US) examination in detecting dorsal screw penetration during volar distal radius plating. In six fresh cadaveric distal radii, seven periarticular locking screws in two rows for each plate were inserted acco...

Full description

Saved in:
Bibliographic Details
Published in:Journal of orthopaedic research 2023-01, Vol.41 (1), p.235-240
Main Authors: Yang, Jui‐Ming, Wang, Chien‐Kuo, Lin, Wei‐Chin, Li, Chung‐Yi, Su, Fong‐Chin, Jou, I‐Ming, Wu, Po‐Ting
Format: Article
Language:English
Subjects:
fluoroscopy
radius fractures
screws penetration
ultrasound
volar plating
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:We compared the accuracy of the fluoroscopic dorsal tangential view (DTV) and an ultrasound (US) examination in detecting dorsal screw penetration during volar distal radius plating. In six fresh cadaveric distal radii, seven periarticular locking screws in two rows for each plate were inserted according to the measured length using a depth gauge and then replaced with another that was 1 and 2 mm longer, respectively. The actual protruded length of each screw was determined using computed tomography (CT) images. The accuracy of US and DTV measurements was determined using the intraclass correlation coefficient (ICC), as both measurements were compared with CT measurements. The ICC of US and DTV was 0.96 and 0.75, respectively, for all screws. After excluding the data for proximal‐row screws, the ICC of US remained unchanged at 0.96, and that of DTV improved to 0.86. The ICC of US was significantly higher than that of DTV (p 
ISSN:0736-0266
1554-527X
DOI:10.1002/jor.25341