Radius Fracture: Diagnostic Tests

Obligatory medical device diagnostics.

  • Radiographs of the wrist with forearm on the hand board anterior-posterior (ap; ray path from anterior to posterior) and lateral (lateral) with comparison of the opposite side (with shoulder abduction of 90°, elbow flexed in middle position).
  • Fracture sonography (ultrasound of bone fractures) to visualize pathologies (“pathological changes”) visible on the cortical surface (tubular, outer bone) and to assess axial deviations and soft tissue injuries (hematomas/bruises, joint effusions) – especially in pediatric traumatology/growing age:
    • X-ray-free diagnosis and therapy management (including fractures near the wrist/fractures of the distal forearm/sensitivity (percentage of diseased patients in whom the disease is detected by use of the test, i.e., a positive test result occurs) of 96% and specificity (probability that actually healthy individuals who do not suffer from the disease in question are also detected as healthy by the procedure) of 97%)

Optional medical device diagnostics – depending on the results of the medical history, physical examination, laboratory diagnostics and mandatory medical device diagnostics – for differential diagnostic clarification.

  • Computed tomography (CT; sectional imaging procedure (X-ray images taken from different directions with computer-based evaluation), particularly well suited for imaging bony injuries) – to assess joint surface congruency.
  • Magnetic resonance imaging (MRI; computer-based cross-sectional imaging method (using magnetic fields, i.e., without X-rays); particularly well suited for imaging soft tissue injuries) – for suspected ligamentous (band-related) injuries, cartilage lesions
  • Sonography (ultrasound examination) – for reposition control.