Relationship Between Carpal Bone Morphology and Distal Radius Fracture Pattern

Öz

Abstract Background: In this study, we examined whether carpal bones (lunate, hamate, capitate) morphologies and fourth metecarp-capitate articulation have an effect on the distal radius fracture pattern. Methods: 206 patients who applied to the emergency department with distal radius fracture between 2016-2020 were included in the study. Preoperative and pre-reduction x-ray films of the patients were examined. Lunate, hamate, capitate morphologies and 4.metacarp articulation analyzed and classified. Distal radius fracture types were classified according to AO and Fernandez. The relationship between carpal bone morphology and distal radius fracture type was analyzed. Results: This study consisted of 101 men and 103 women. AO fracture types and carpal bone morphologies (lunate joint type according to Viegas, lunate type according to Zapico, capitate morphology, hamate morphology and capitate-4 metacarpal joint morphology) did not differ significantly (p > 0.05). Fernandez fracture types and carpal bone morphologies (lunate joint type according to Viegas, lunate type according to Zapico, capitate morphology, hamatum morphology and capitate-4.metacarp joint morphology) were compared, there was no significant difference (p > 0.05). Conclusion: As a result, no clear relationship could be demonstrated between carpal bone morphology and distal radius fracture pattern.

Anahtar Kelimeler

• carpal morhology
• distal radius fracture
• fracture type

Karpal kemik morfolojisi ile distal radius kırık paterni arasındaki ilişki

Öz

Öz Amaç: Bu çalışmada, karpal kemiklerin (lunate, hamate, kapitat) morfolojilerinin ve dördüncü metekarp-kapitat artikülasyonunun distal radius kırık paterni üzerinde bir etkisi olup olmadığını inceledik. Gereç ve Yöntem: 2016-2020 yılları arasında acil servise distal radius kırığı ile başvuran 206 hasta çalışmaya dahil edildi. Hastaların ameliyat öncesi ve redüksiyon öncesi röntgen filmleri incelendi. Lunat, hamate, kapitat morfolojileri ve 4.metacarp artikülasyonu analiz edilerek sınıflandırıldı. Distal radius kırık tipleri AO ve Fernandez'e göre sınıflandırıldı. Karpal kemik morfolojisi ile distal radius kırığı tipi arasındaki ilişki analiz edildi. Bulgular: Bu çalışmaya 101 erkek ve 103 kadın dahil edildi. AO kırık tipleri ve karpal kemik morfolojileri (Viegas'a göre lunat eklem tipi, Zapico'ya göre lunat tipi, kapitat morfolojisi, hamat morfolojisi ve kapitat-4 metakarpal eklem morfolojisi) anlamlı farklılık göstermedi (p > 0.05). Fernandez kırık tipleri ve karpal kemik morfolojileri (Viegas'a göre lunat eklem tipi, Zapico'ya göre lunat tip, kişi morfolojisi, hamatum morfolojisi ve kapitat-4.metacarp eklem morfolojisi) karşılaştırıldığında, anlamlı bir fark yoktu (p > 0.05). Sonuç: Sonuç olarak, karpal kemik morfolojisi ile distal radius kırık paterni arasında net bir ilişki gösterilememiştir.

Anahtar Kelimeler

• karpal morfoloji
• distal radius kırığı
• kırık tipi

Kaynakça

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