Loesaus J, Wobbe I, Stahlberg E, Barkhausen J, Goltz JP. Reliability of the pronator quadratus fat pad sign to predict the severity of distal radius fractures. World J Radiol 2017; 9(9): 359-364 [PMID: 29098069 DOI: 10.4329/wjr.v9.i9.359]
Corresponding Author of This Article
Julia Loesaus, MD, Department for Radiology, Neuroradiology and Nuclear Medicine, University Hospital of Schleswig-Holstein, Campus Lübeck, Ratzeburger Allee 160, 23538 Lübeck, Germany. loesausj@klifue.de
Research Domain of This Article
Radiology, Nuclear Medicine & Medical Imaging
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Radiol. Sep 28, 2017; 9(9): 359-364 Published online Sep 28, 2017. doi: 10.4329/wjr.v9.i9.359
Table 1 Distribution (n = 44) of distal radius fractures according to the Frykman classification
Frykman-classification
I
3
II
0
III
10
IV
5
V
2
VI
2
VII
9
VIII
13
Table 2 Thickness of the pronator quadratus complex measured on lateral conventional radiographs and sagital reconstructions of a computed tomography
Total (n = 89)
With fracture
Without fracture
(n = 44)
(n = 45)
CR (mm)
7.5 ± 2.8
8.8 ± 2.9
6.2 ± 1.8
CT (mm)
9.4 ± 3.0
10.9 ± 3.1
7.8 ± 2.0
Correlation
0.795
0.74
0.695
coefficient
Table 3 Frequency of a positive and negative fat pad sign depending on the absence or presence of a fracture
CR pronator quadratus fat pad sign
Radius fracture
Positive
Negative
Total
Yes
21
23
44
No
2
43
45
Total
23
66
89
Table 4 Sensitivity and specificity of the positive fat pad sign for detection of a fracture
Sensitivity
Specificity
Positive
Negative
predictive value
predictive value
Positive fat pad
48.00%
96.00%
91.00%
65.00%
sign for detection
of a fracture
Citation: Loesaus J, Wobbe I, Stahlberg E, Barkhausen J, Goltz JP. Reliability of the pronator quadratus fat pad sign to predict the severity of distal radius fractures. World J Radiol 2017; 9(9): 359-364