{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T17:26:21Z","timestamp":1769102781004,"version":"3.49.0"},"reference-count":12,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"8","license":[{"start":{"date-parts":[[2013,8,1]],"date-time":"2013-08-01T00:00:00Z","timestamp":1375315200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":["online.boneandjoint.org.uk"],"crossmark-restriction":true},"short-container-title":["The Bone &amp; Joint Journal"],"published-print":{"date-parts":[[2013,8]]},"abstract":"<jats:p> Penetration of the dorsal screw when treating distal radius fractures with volar locking plates is an avoidable complication that causes lesions of the extensor tendon in between 2% and 6% of patients. We examined axial fluoroscopic views of the distal end of the radius to observe small amounts of dorsal screw penetration, and determined the ideal angle of inclination of the x-ray beam to the forearm when making this radiological view. <\/jats:p><jats:p> Six volar locking plates were inserted at the wrists of cadavers. The actual screw length was measured under direct vision through a dorsal approach to the distal radius. Axial radiographs were performed for different angles of inclination of the forearm at the elbow. <\/jats:p><jats:p> Comparing axial radiological measurements and real screw length, a statistically significant correlation could be demonstrated at an angle of inclination between 5\u00b0 and 20\u00b0. The ideal angle of inclination required to minimise the risk of implanting over-long screws in a dorsal horizon radiological view is 15\u00b0. <\/jats:p><jats:p> Cite this article: Bone Joint J 2013;95-B:1101\u20135. <\/jats:p>","DOI":"10.1302\/0301-620x.95b8.31301","type":"journal-article","created":{"date-parts":[[2013,8,1]],"date-time":"2013-08-01T09:17:21Z","timestamp":1375348641000},"page":"1101-1105","update-policy":"https:\/\/doi.org\/10.1302\/crossmark-policy","source":"Crossref","is-referenced-by-count":46,"title":["A new radiological method to detect dorsally penetrating screws when using volar locking plates in distal radial fractures"],"prefix":"10.1302","volume":"95-B","author":[{"given":"L. 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