Radiographic indices in one hundred fifty normal Iranian wrists

Radiography is the most widely available imaging modality. Precise evaluations of wrist x-ray can help diagnosis and evaluate the prognosis of many wrist disorders. We measured length, angles and indices in 150 posteroanterior and lateral wrist x-rays to determine normal dimensions and variations according to age and sex. All x-rays were made with standard exposure, with the wrist and forearm in a neutral position. The average carpal height ratio was 0.52 +/- 0.03 with the Youm method and 1.5 +/- 0.09 with the Nattrass method. Mean ulnar variance was +0.99 +/- 1.6 mm and mean radial inclination was 25 +/- 4 degrees. The average radial tilt was 10 +/- 5.1 degrees. Mean scapholunate angle was 50 +/- 8.4 degrees [normal range 40 -60]. Carpal height, third metacarpal and capitate length were smaller in women than in men. There was a significant positive relationship between all dimensions. Our data base may be used to follow-up in conditions such as carpal instability, osteoarthritis and osteonecrosis, as well as for clinical research

Bilateral combined Monteggia and Galeazzi fractures: a case report

We present an exceedingly rare case of left Monteggia-Galeazzi fracture-dislocation and right Monteggiadistal radius fracture occurring simultaneously in a 20-year old male patient who had fallen 13 meters from a building. The combination of Monteggia and Galeazzi fracture-dislocation in the same forearm is very rare and, to the best of our knowledge, simultaneous bilateral Monteggia and Galeazzi or distal radius fracture in the same patient, have never been reported

Relationship between radiographic carpal indices and grip strength

The measurement of hand grip strength has several clinical applications to evaluate chronic hand disability, response to treatment, and work capacity after hand injury. We measured hand grip strength of 41 adults and compared their maximum strength with radiographic indices. There was a significant relationship between hand grip strength and carpal height, third metacarpal and capitate length [All p-values<0.05]. In addition to established factors such as sex, upper limb muscle and joint status, wrist radiographic indices are significantly determinants of hand power grip