Original Article
Patient Care
Adel M. Aboregela
Abstract
Background: Radiographic assessment of the wrist joint is crucial in restoring the structural and functional anatomy. Gender, age, and race-dependent diversities were recorded. This study aimed to evaluate some radiographic parameters in the wrist and correlate them with each other and with the sociodemographic ...
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Background: Radiographic assessment of the wrist joint is crucial in restoring the structural and functional anatomy. Gender, age, and race-dependent diversities were recorded. This study aimed to evaluate some radiographic parameters in the wrist and correlate them with each other and with the sociodemographic characters.
Methods: 238 posteroanterior plain x-ray wrist images were collected from the radiology department in Zagazig University hospitals during the period 2021-2022 and assessed. Radial cord, radial height, radial inclination, ulnar variance, scaphoid length, lunate length, scapholunate distance, capitate length, carpal height, third metacarpal length, carpal height ratio, revised carpal height ratio, and scaphoid-capitate ratio were estimated. Comparisons were conducted by t-test, ANOVA, Kendall's tau_b correlation, and linear regression.
Results: Significant gender diversities were elaborated in radial height, inclination, and ulnar variance (p=0.004, 0.013, and 0.002). Radial cord, scaphoid, lunate, capitate, and third metacarpal lengths, as well as the carpal height and carpal height ratio, showed p<0.001. Radial cord, height, and radial inclination were higher on the right than the left side; otherwise, lunate length was significantly higher on the left side (p=0.0168, <0.001, 0.049, and <0.001). Age differences in the radial cord, ulnar variance, scapholunate space, capitate height, scapho-capitate ratio, carpal height, and carpal height ratio showed variable significance levels (p=0.044, 0.011, 0.039, 0.026, 0.048, 0.002 and 0.017).
Conclusions: It can be concluded that diversities in wrist parameters should be considered very important when managing wrist disorders. Further studies are needed to propose algorithms that might promote the outcomes of wrist pathologies in Egyptians.