Sarhan Mohammed Y, Altamimi Anas Ar, Gharaibeh Monther A, Akel Alaa, Abu Shokor Muntaser, Salem Omar Alshiekh, Balbisi Basel, Abu-Jeyyab Mohammad
Department of special surgery, faculty of medicin Hashemite University.
Department of special surgery, faculty of medicine Hashemite University.
Orthop Rev (Pavia). 2024 Aug 3;16:120049. doi: 10.52965/001c.120049. eCollection 2024.
The wrist is a complex joint that plays a role in several everyday tasks. Various radiological indices have been created to assess the alignment and structure of the wrist using standard X-ray images. Nevertheless, these indicators may differ based on variables such as age, gender, ethnicity, handedness, and wrist position. This research aimed to assess the radiological indices of the wrist in a group of healthy people from Jordan and investigate the impact of age and gender on these indices.
We obtained data from a sample of 385 patients who presented at our hospital with minor non-specific wrist pain and satisfied the specified criteria for inclusion. We conducted measurements of radial inclination, radial height, volar tilt, ulnar variance, and carpal height ratio using both anteroposterior and lateral views of the wrist. We used linear regression and independent sample t-test to examine the correlation between age, gender, and radiological indicators. The reliability of the measurements was assessed using the intraclass correlation coefficient (ICC).
Our study revealed a negative correlation between age and carpal height ratio (r = -0.13, p = 0.03). However, no significant gender differences were seen in any of the radiological indices (p > 0.05). Our findings indicate that ulnar variance had the greatest level of reliability across observers, with an intra-observer intraclass correlation coefficient (ICC) of 0.95 and an inter-observer ICC of 0.8. Conversely, volar tilt exhibited the lowest inter-observer reliability, with an ICC of 0.1.Our results provide a valuable point of reference for the wrist morphology and alignment in the Jordanian population. Our suggestion is that the carpal height ratio might indicate alterations in the wrist joint due to aging, whereas ulnar variation may serve as a dependable indicator of wrist alignment. We suggest doing more research to investigate the biological and anatomical factors behind these results and to compare them with other demographic groups.
腕关节是一个复杂的关节，在多项日常活动中发挥作用。人们创建了各种放射学指标，以利用标准X线图像评估腕关节的对线和结构。然而，这些指标可能因年龄、性别、种族、利手和腕关节位置等变量而有所不同。本研究旨在评估一组约旦健康人群的腕关节放射学指标，并调查年龄和性别对这些指标的影响。
我们从385例因轻微非特异性腕关节疼痛到我院就诊且符合特定纳入标准的患者样本中获取数据。我们使用腕关节的前后位和侧位视图测量桡骨倾斜度、桡骨高度、掌倾角、尺骨变异和腕骨高度比。我们使用线性回归和独立样本t检验来检查年龄、性别与放射学指标之间的相关性。使用组内相关系数（ICC）评估测量的可靠性。
我们的研究显示年龄与腕骨高度比之间存在负相关（r = -0.13，p = 0.03）。然而，在任何放射学指标中均未观察到显著的性别差异（p > 0.05）。我们的研究结果表明，尺骨变异在观察者之间具有最高的可靠性水平，观察者内组内相关系数（ICC）为0.95，观察者间ICC为0.8。相反，掌倾角表现出最低的观察者间可靠性，ICC为0.1。我们的结果为约旦人群的腕关节形态和对线提供了有价值的参考点。我们的建议是，腕骨高度比可能表明由于衰老导致的腕关节改变，而尺骨变异可能是腕关节对线的可靠指标。我们建议进行更多研究，以调查这些结果背后的生物学和解剖学因素，并将它们与其他人群进行比较。
