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Objective : To analyze the the palmar angle measurements process distal radial fracture clinic and to explore the problem of the palm inclination measurement should note . Method : lateral radiographs of patient diagnosis and treatment of 53 cases of wrist injuries wrist shot for the object , to the ability to distinguish pisiform , scaphoid , the three carpal contour of the head of the lunate bone packet , can distinguish between the the three carpal bone X- rays using SPC judgment method , X- rays can not distinguish the RUO judgment method evaluation, palmar angle measurement method of the two judgments as excellent, good lateral radiographs . The results : we can distinguish between the three carpal X - ray 66 , of 23 ordinary X - ray , CR tablets two DR chip 41 . SPC judgment method results : excellent in 12 , good in 25 , poor in 29 . X - rays can not distinguish three carpal 50 , which ordinary X - ray 27 23 DR tablets . Results of the RUO judgment method : excellent 4 , good in 18 , poor in 28 . Excellent lateral radiographs were obtained 59 bone fragment 8 , 8 , the first time a referral sheet 10 13 fractures fractures , secondary referral 7 . The palmar angle measurements lt ; 10 ° , 10 ° -15 ° gt; 15 ° Packet no fracture group were 2 , 7 , 0 ; fractures were 13 , 4 , 2 ; fractures were 2 , 11 , 1 ; first time referral piece of 3 , 7 , 0 ; the secondary referral tablets were 2 , 5 , 0 . Conclusion: The the palmar angle measurement in judgment distal radial fracture and judgment has important significance in the treatment prognosis ; the palmar angle measurement results has comparability and reproducibility of clinical attention should be paid to obtain the standard lateral radiographs ; normally the crowd in the palm inclination variation; manipulative reduction and external fixation of distal radius fractures should be regularly observed the palmar angle changes and the increased the correction bit fixed time .
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