{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T08:07:39Z","timestamp":1781078859726,"version":"3.54.1"},"reference-count":9,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,6,7]],"date-time":"2026-06-07T00:00:00Z","timestamp":1780790400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Hand Surg Eur Vol"],"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Axial malrotation may contribute to the high prevalence of malunion in distal radial fractures. Assessment of the clinical implications requires the recognition of axial malrotation. The aims of this study were to validate published radiological characteristics and to assess the frequency of axial malrotation in acute extra-articular distal radial fractures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>All consecutive patients treated for an extra-articular distal radial fracture between January 2015 and December 2023 in a level II trauma centre were screened. Post-reduction radiographs and CT scans were reviewed. Axial malrotation on radiographs was identified by the characteristics reported by Giddins and Sassi. As there is no verified method to measure malrotation on CT scans, we used two CT scan measurement methods: the first, a new method (the \u2018Fracture level method\u2019); and the second, a modification of a previously described method (Filer\u2019s method).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Fifty patients with 51 extra-articular distal radial fractures were included. Based on the fracture level and Filer\u2019s methods applied to CT scans, respectively, 35\u201341% of the wrists had a rotated distal radial fracture fragment. Using Giddins\u2019 malrotation characteristics, malrotation was predicted with a sensitivity of 100% and a specificity of 70% using the fracture level method as the reference standard.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This study confirms that residual fracture malrotation following reduction of a distal radial fracture is common. The ability to predict this malrotation with a 100% sensitivity using Giddins\u2019 malrotation characteristics suggests that these characteristics may be helpful for malrotation recognition on radiographs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of evidence:<\/jats:title>\n                    <jats:p>III<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17531934261453752","type":"journal-article","created":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T04:31:46Z","timestamp":1780893106000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Malrotation of extra-articular distal radial fractures: comparison of radiographic prediction and CT scan measurement"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4512-0749","authenticated-orcid":false,"given":"Simon B","family":"Kramer","sequence":"first","affiliation":[{"name":"Department of Trauma Surgery, Maasstad Hospital, Rotterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Niels WL","family":"Schep","sequence":"additional","affiliation":[{"name":"Department of Trauma Surgery, Maasstad Hospital, Rotterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Grey E","family":"Giddins","sequence":"additional","affiliation":[{"name":"Department of Trauma Surgery, The Hand to Elbow Clinic, Bath, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,6,7]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/2309499019862872"},{"key":"e_1_3_2_3_1","first-page":"68","article-title":"CT-Diagnostik bei Fehlstellungen nach distaler Radiusfraktur","volume":"29","author":"Frahm R","year":"1989","unstructured":"Frahm R, Saul O, Drescher E. CT-Diagnostik bei Fehlstellungen nach distaler Radiusfraktur [CT diagnosis of malalignment following distal radius fracture]. Radiologe. 1989, 29: 68\u201372.","journal-title":"Radiologe"},{"key":"e_1_3_2_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/17531934251357797"},{"key":"e_1_3_2_5_1","volume-title":"Nederlandse Vereniging voor Heelkunde","author":"Heelkunde NVv","year":"2021","unstructured":"Heelkunde NVv. Richtlijn distale radiusfracturen. Nederlandse Vereniging voor Heelkunde, 2021. [Surgery NVv. Guideline distal radius fractures. Dutch Society for Surgery, 2021.]"},{"key":"e_1_3_2_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcm.2016.02.012"},{"key":"e_1_3_2_7_1","doi-asserted-by":"publisher","DOI":"10.2307\/2529310"},{"key":"e_1_3_2_8_1","doi-asserted-by":"publisher","DOI":"10.1037\/1082-989X.1.1.30"},{"key":"e_1_3_2_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2003.09.014"},{"key":"e_1_3_2_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2021.07.014"}],"container-title":["Journal of Hand Surgery (European Volume)"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17531934261453752","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/17531934261453752","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17531934261453752","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T07:48:45Z","timestamp":1781077725000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/17531934261453752"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,7]]},"references-count":9,"alternative-id":["10.1177\/17531934261453752"],"URL":"https:\/\/doi.org\/10.1177\/17531934261453752","relation":{},"ISSN":["1753-1934","2043-6289"],"issn-type":[{"value":"1753-1934","type":"print"},{"value":"2043-6289","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,7]]},"article-number":"17531934261453752"}}