{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T22:15:16Z","timestamp":1787004916626,"version":"build-2736575974"},"reference-count":23,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Wrist Surg"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Background and Purposes\u2003The objectives of this study were to investigate the inter- and intraobserver agreement in the classification of distal radius fractures (DRFs) according to the AO and the Buttazzoni classification system, for the two different radiology modalities: conventional radiography (CR) and cone-beam computed tomography (CBCT). Furthermore, we aimed to explore whether the radiological modality used influences the choice of treatment.<\/jats:p>\n                  <jats:p>Materials and Methods\u2003Fifty consecutive patients with DRFs were included. The fractures were visualized by both CR and CBCT. All images were independently reviewed by five observers (three orthopaedic surgeons and two radiologists) and the fractures were classified according to the AO and the Buttazzoni classification. Agreement on fracture classification between CR and CBCT, interobserver agreement for all observers, and intraobserver agreement for a repeated assessment after 8 weeks were calculated. Treatment was suggested by the orthopaedic surgeons.<\/jats:p>\n                  <jats:p>Results\u2003The Buttazzoni classification showed higher interobserver agreement than the AO classification, but the agreement for the AO classification was increased using CBCT. The agreement between classification of fractures by CR and CBCT for each observer varied from fair to moderate. CBCT was superior for classification of dorsally comminute fractures using both the AO and the Buttazzoni system. In 38% (n\u2009=\u200957) of the observations, the suggested treatment was changed when CBCT was used, both from less advanced to more advanced and vice versa.<\/jats:p>\n                  <jats:p>Conclusion\u2003The choice of radiological modality affects both the classification and the choice of treatment for DRFs and CR tends to underestimate the complexity of DRFs.<\/jats:p>\n                  <jats:p>Level of Evidence\u2003Level I.<\/jats:p>","DOI":"10.1055\/s-0044-1782236","type":"journal-article","created":{"date-parts":[[2024,3,8]],"date-time":"2024-03-08T18:50:12Z","timestamp":1709923812000},"page":"333-341","source":"Crossref","is-referenced-by-count":1,"title":["Cone-Beam Computed Tomography Influences the Classification and Choice of Treatment for Distal Radius Fractures"],"prefix":"10.1055","volume":"14","author":[{"given":"Sara","family":"Eriksson","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Norrk\u00f6ping, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Firas","family":"Rasool","sequence":"additional","affiliation":[{"name":"Department of Radiology, Norrk\u00f6ping, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ida","family":"D\u00e5nmark","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Link\u00f6ping, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudia Weber","family":"Lensing","sequence":"additional","affiliation":[{"name":"Department of Radiology, Norrk\u00f6ping, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonas","family":"Werner","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Norrk\u00f6ping, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lotta","family":"Fornander","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Norrk\u00f6ping, Sweden"},{"name":"Department of Biomedical and Clinical Sciences, Link\u00f6ping University, Norrk\u00f6ping, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2024,3,8]]},"reference":[{"issue":"06","key":"ref1","doi-asserted-by":"crossref","first-page":"517","DOI":"10.1016\/S8756-3282(01)00614-7","article-title":"Epidemiology of fractures in England and Wales","volume":"29","author":"T P van Staa","year":"2001","journal-title":"Bone"},{"issue":"02","key":"ref2","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1016\/j.hcl.2012.02.001","article-title":"The epidemiology of distal radius fractures","volume":"28","author":"K W Nellans","year":"2012","journal-title":"Hand Clin"},{"issue":"03","key":"ref3","doi-asserted-by":"crossref","first-page":"404","DOI":"10.1016\/j.jhsa.2015.12.008","article-title":"Safety and efficacy of operative versus nonsurgical management of distal radius fractures in elderly patients: a systematic review and meta-analysis","volume":"41","author":"Y Chen","year":"2016","journal-title":"J Hand Surg Am"},{"issue":"05","key":"ref4","doi-asserted-by":"crossref","first-page":"824","DOI":"10.1016\/j.jhsa.2011.02.005","article-title":"A systematic review of outcomes and complications of treating unstable distal radius fractures in the elderly","volume":"36","author":"R J Diaz-Garcia","year":"2011","journal-title":"J Hand Surg Am"},{"issue":"09","key":"ref5","doi-asserted-by":"crossref","first-page":"566","DOI":"10.5435\/JAAOS-22-09-566","article-title":"Controversies in the management of distal radius fractures","volume":"22","author":"K Koval","year":"2014","journal-title":"J Am Acad Orthop Surg"},{"issue":"01","key":"ref6","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1186\/s12891-020-3097-8","article-title":"Epidemiology, classification, treatment and mortality of distal radius fractures in adults: an observational study of 23,394 fractures from the national Swedish fracture register","volume":"21","author":"J Rundgren","year":"2020","journal-title":"BMC Musculoskelet Disord"},{"issue":"03","key":"ref7","doi-asserted-by":"crossref","first-page":"283","DOI":"10.1007\/s11552-009-9163-1","article-title":"The Buttazzoni classification of distal radial fractures in adults: interobserver and intraobserver reliability","volume":"4","author":"M A Wadsten","year":"2009","journal-title":"Hand (N Y)"},{"issue":"05","key":"ref8","doi-asserted-by":"crossref","first-page":"463","DOI":"10.3109\/17453679108996645","article-title":"Older's classification of Colles' fractures. 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