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Related Concept Videos

Assessment of radial pulse01:11

Assessment of radial pulse

808
Assessment of Radial Pulse
The radial pulse, located at the wrist, is often the preferred site for assessing peripheral pulse because of its accessibility and dependability. The process of determining the radial pulse involves several steps:
808
Assessment of apical radial pulse01:25

Assessment of apical radial pulse

732
Apical-Radial (A-R) Pulse Assessment
The A-R pulse assessment involves simultaneous evaluation of the apical and radial pulses. When the apical and radial pulse rates vary, this assessment helps identify a pulse deficit.
Pre-Procedural Preparation
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Related Experiment Video

Updated: Jun 14, 2025

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
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A new method for evaluating radial neck fractures based on Judet classification.

Yi C Wang1, Jiao J Song2, Ting T Li3

  • 1Department of Orthopedics, Shanghai Children's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.

The Bone & Joint Journal
|August 31, 2024
PubMed
Summary

Angle U on anteroposterior (AP) radiographs is a reliable method for measuring pediatric radial neck fractures, offering improved accuracy for treatment planning in children.

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Area of Science:

  • Pediatric Orthopedics
  • Radiology
  • Pediatric Trauma

Background:

  • Radial neck fractures are common in children.
  • Accurate angulation measurement is crucial for treatment planning.
  • Current methods may lack precision, especially in younger children.

Purpose of the Study:

  • To propose and evaluate a novel method for assessing pediatric radial neck fractures.
  • To enhance the accuracy of fracture angulation measurement in children.
  • To improve treatment planning for pediatric radial neck fractures.

Main Methods:

  • Retrospective analysis of 50 pediatric radial neck fracture cases.
  • Comparison of radiographic measurements (Angles P, S, U) with CT scans (CTa).
  • Assessment of inter- and intraobserver reliability using Kappa statistics and ICC.

Main Results:

  • Angle U demonstrated the strongest correlation with CT-measured angulation (CTa).
  • Angles S and U showed higher inter- and intraobserver reliability compared to Angle P.
  • Excellent intraclass correlation coefficient (ICC) values were observed for all measured angles.

Conclusions:

  • Angle U on AP radiographs is a suitable substitute for CTa in evaluating pediatric radial neck fractures.
  • This method offers improved accuracy for fracture angulation measurement in children.
  • Further validation studies are recommended for this proposed method.