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A prospective cohort study on accuracy of dorsal tangential views to avoid screw penetration with volar plating of distal radius fractures

Journal of Orthopaedic Trauma Aug 25, 2020

Bergsma M, Bulstra AE, Morris D, et al. - A prospective cohort study was conducted to evaluate diagnostic performance of dorsal tangential views (DTVs) to detect dorsal screw protrusion in clinical practice. Researchers prospectively enrolled 50 consecutive patients undergoing volar plating for 50 distal radius fractures. The incidence of protruding screws that can cause iatrogenic extensor tendon rupture was reduced by obtaining additional DTVs in one-third of our patients. This study reveals limited sensitivity, although DTV reduces the incidence of dorsal screw penetration considerably. Thus, it can be considered that dorsal screw penetration may go unnoticed on DTVs, and proper surgical technique remains paramount of DTV.

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