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European Radiology
Published in: European Radiology 6/2014

01-06-2014 | Musculoskeletal

Intraosseous rotation of the scaphoid: assessment by using a 3D CT model—an anatomic study

Authors: Gernot Schmidle, Michael Rieger, Andrea Sabine Klauser, Michael Thauerer, Romed Hoermann, Markus Gabl

Published in: European Radiology | Issue 6/2014

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Abstract

Objectives

The purpose of this study was to assess intraosseous rotation as the third dimension of scaphoid anatomy on a 3D CT model using common volume rendering software to impact anatomical reconstruction of scaphoid fractures.

Methods

CT images of 13 cadaver wrist pairs were acquired. Reference axes for the alignment of distal and proximal scaphoid poles were defined three-dimensionally. Two methods for rotation measurement—the reference axis method (RAM) and the scapho-trapezio-trapezoidal joint method (STTM)—were developed and compared by three independent observers.

Results

Rotation measured by the RAM averaged 66.9° ± 7 for the right and 67.2° ± 5.8 for the left wrists. Using the STTM there was a mean rotation of 68.6° ± 6.6 for the right and 68.6° ± 6.8 for the left wrists. The overall results showed a significant variability of the measured values between different specimens (P < 0.05). There was no significant difference between left and right wrists of the same specimen, neither for the RAM (P = 0.268) nor for the STTM (P = 0.774). Repeatability coefficients between the observers were low, indicating good repeatability.

Conclusions

The presented methods are practical tools to quantify intraosseous rotation between distal and proximal scaphoid poles using common volume rendering software. For clinical application the opposite side provides the best reference values to assess malrotation in scaphoid fracture cases.

Key points

• Scaphoid intraosseous rotation can be measured using common volume rendering software.
• The opposite uninjured side provides good reference values for rotation measurement.
• Assessment of malrotation may impact anatomical reconstruction of scaphoid fractures.
Literature
1.
Kozin SH (2001) Incidence, mechanism, and natural history of scaphoid fractures. Hand Clin 17:515–524PubMed
2.
Taljanovic MS, Karantanas A, Griffith JF, DeSilva GL, Rieke JD, Sheppard JE (2012) Imaging and treatment of scaphoid fractures and their complications. Semin Musculoskelet Radiol 16:159–173PubMedCrossRef
3.
Buijze GA, Ochtman L, Ring D (2012) Management of scaphoid nonunion. J Hand Surg [Am] 37:1095–1100CrossRef
4.
Herbert TJ, Fisher WE (1984) Management of the fractured scaphoid using a new bone screw. J Bone Joint Surg (Br) 66:114–123
5.
Krimmer H, Schmitt R, Herbert T (2000) Scaphoid fractures–diagnosis, classification and therapy. Unfallchirurg 103:812–819PubMedCrossRef
6.
Amirfeyz R, Bebbington A, Downing ND, Oni JA, Davis TR (2011) Displaced scaphoid waist fractures: the use of a week 4 CT scan to predict the likelihood of union with nonoperative treatment. J Hand Surg Eur Vol 36:498–502PubMedCrossRef
7.
Werner FW, Sutton LG, Allison MA, Gilula LA, Short WH, Wollstein R (2011) Scaphoid and lunate translation in the intact wrist and following ligament resection: a cadaver study. J Hand Surg [Am] 36:291–298CrossRef
8.
Moritomo H, Murase T, Oka K, Tanaka H, Yoshikawa H, Sugamoto K (2008) Relationship between the fracture location and the kinematic pattern in scaphoid nonunion. J Hand Surg [Am] 33:1459–1468CrossRef
9.
Schweizer A, Furnstahl P, Nagy L (2012) Three-dimensional computed tomographic analysis of 11 scaphoid waist nonunions. J Hand Surg [Am] 37:1151–1158CrossRef
10.
Knirk JL, Jupiter JB (1986) Intra-articular fractures of the distal end of the radius in young adults. J Bone Joint Surg Am 68:647–659PubMed
11.
Smith DK, Linscheid RL, Amadio PC, Berquist TH, Cooney WP (1989) Scaphoid anatomy: evaluation with complex motion tomography. Radiology 173:177–180PubMed
12.
Bain GI, Bennett JD, MacDermid JC, Slethaug GP, Richards RS, Roth JH (1998) Measurement of the scaphoid humpback deformity using longitudinal computed tomography: intra- and interobserver variability using various measurement techniques. J Hand Surg [Am] 23:76–81CrossRef
13.
Oka K, Moritomo H, Murase T, Goto A, Sugamoto K, Yoshikawa H (2005) Patterns of carpal deformity in scaphoid nonunion: a 3-dimensional and quantitative analysis. J Hand Surg [Am] 30:1136–1144CrossRef
14.
Matsuki H, Horii E, Majima M, Genda E, Koh S, Hirata H (2009) Scaphoid nonunion and distal fragment resection: analysis with three-dimensional rigid body spring model. J Orthop Sci 14:144–149PubMedCrossRef
15.
Nakamura R, Imaeda T, Horii E, Miura T, Hayakawa N (1991) Analysis of scaphoid fracture displacement by three-dimensional computed tomography. J Hand Surg [Am] 16:485–492CrossRef
16.
Watanabe K (2011) Analysis of carpal malalignment caused by scaphoid nonunion and evaluation of corrective bone graft on carpal alignment. J Hand Surg [Am] 36:10–16CrossRef
17.
Compson JP (1998) The anatomy of acute scaphoid fractures: a three-dimensional analysis of patterns. J Bone Joint Surg (Br) 80:218–224CrossRef
18.
Ceri N, Korman E, Gunal I, Tetik S (2004) The morphological and morphometric features of the scaphoid. J Hand Surg (Br) 29:393–398CrossRef
19.
Moritomo H, Viegas SF, Nakamura K, Dasilva MF, Patterson RM (2000) The scaphotrapezio-trapezoidal joint. Part 1: an anatomic and radiographic study. J Hand Surg [Am] 25:899–910CrossRef
20.
Bland JM, Altman DG (2003) Applying the right statistics: analyses of measurement studies. Ultrasound Obstet Gynecol 22:85–93PubMedCrossRef
21.
Bernard SA, Murray PM, Heckman MG (2010) Validity of conventional radiography in determining scaphoid waist fracture displacement. J Orthop Trauma 24:448–451PubMedCrossRef
22.
Desai VV, Davis TR, Barton NJ (1999) The prognostic value and reproducibility of the radiological features of the fractured scaphoid. J Hand Surg (Br) 24:586–590CrossRef
23.
Buijze GA, Jorgsholm P, Thomsen NO, Bjorkman A, Besjakov J, Ring D (2012) Diagnostic performance of radiographs and computed tomography for displacement and instability of acute scaphoid waist fractures. J Bone Joint Surg Am 94:1967–1974PubMedCrossRef
24.
Lozano-Calderon S, Blazar P, Zurakowski D, Lee SG, Ring D (2006) Diagnosis of scaphoid fracture displacement with radiography and computed tomography. J Bone Joint Surg Am 88:2695–2703PubMedCrossRef
25.
Heinzelmann AD, Archer G, Bindra RR (2007) Anthropometry of the human scaphoid. J Hand Surg [Am] 32:1005–1008CrossRef
26.
Feipel V, Rinnen D, Rooze M (1998) Postero-anterior radiography of the wrist. Normal database of carpal measurements. Surg Radiol Anat 20:221–226PubMed
27.
Smith DK (1993) Anatomic features of the carpal scaphoid: validation of biometric measurements and symmetry with three-dimensional MR imaging. Radiology 187:187–191PubMed
28.
Murase T, Moritomo H, Goto A, Sugamoto K, Yoshikawa H (2005) Does three-dimensional computer simulation improve results of scaphoid nonunion surgery? Clin Orthop Relat Res 434:143–150PubMedCrossRef
Metadata
Title
Intraosseous rotation of the scaphoid: assessment by using a 3D CT model—an anatomic study
Authors
Gernot Schmidle
Michael Rieger
Andrea Sabine Klauser
Michael Thauerer
Romed Hoermann
Markus Gabl
Publication date
01-06-2014
Publisher
Springer Berlin Heidelberg
Published in
European Radiology / Issue 6/2014
Print ISSN: 0938-7994
Electronic ISSN: 1432-1084
DOI
https://doi.org/10.1007/s00330-014-3116-y

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