Alexa O, Păduraru D
Clinica Ortopedie-Traumatologie, Facultatea de Medicină, Universitatea de Medicină şi Farmacie Gr.T. Popa Iaşi.
Rev Med Chir Soc Med Nat Iasi. 2001 Jul-Sep;105(3):579-82.
X-ray examination in distal radius fractures is very important for the management and prognostic of these fractures. Anterior and lateral radiographs must be taken in standardised position to avoid errors in measurements. On antero-posterior x-ray of the distal radius the important parameters are: radial length (N = 11-12 mm), radial angle (N = 22 degrees-25 degrees) and radial width. For the radial length three methods of measurements (Gartland, Gelberman and Palmer) are presented. On the lateral x-ray the palmar inclination of the distal radius may be measured (N = 10 degrees-12 degrees). Modifications of these parameters associated with distal radius fractures are presented.
X线检查在桡骨远端骨折的治疗及预后评估中非常重要。必须在标准体位拍摄正位和侧位X线片,以避免测量误差。在桡骨远端正位X线片上,重要参数包括:桡骨长度(N = 11 - 12毫米)、桡骨角度(N = 22度 - 25度)和桡骨宽度。文中介绍了测量桡骨长度的三种方法(加特兰法、盖尔伯曼法和帕尔默法)。在侧位X线片上,可以测量桡骨远端的掌倾角(N = 10度 - 12度)。文中还介绍了与桡骨远端骨折相关的这些参数的改变情况。