IJAR.2019.108

Type of Article:  Original

Volume 7; Issue 1.3 (March 2019)

Page No.: 6314-6318

DOI: https://dx.doi.org/10.16965/ijar.2019.108

CARPAL HEIGHT RATIO IN KASHMIRI POPULATION: A STUDY OF ONE HUNDRED AND TWENTY WRIST RADIOGRAPHS

Masarat Jehan 1, Nadeem Ali *2, Mohammad Saleem Itoo 3, Shaheen Shahdad 4, Altaf Ahmad Kawoosa 5.

1 Postgraduate scholar, Department of Anatomy, GMC Srinagar, Jammu & Kashmir, India.

*2 Lecturer, Hospital for Bone and Joint Surgery Barzulla, Srinagar, Jammu & Kashmir, India.

3 Associate Professor, Department of Anatomy, GMC Srinagar, Jammu & Kashmir, India.

4 Professor, Department of Anatomy, GMC Srinagar, Jammu & Kashmir, India.  

5 Associate Professor, Hospital for Bone and Joint Surgery Barzulla, Srinagar, Jammu & Kashmir, India.

Corresponding author: Dr Nadeem Ali, Mughal Mohalla, Lalbazar, Srinagar, Jammu & Kashmir, India – 190023.Mobile no.: 919622795472; 911942423211 E-Mail: drnadeeem@gmail.com

ABSTRACT:

Background: Morphometry of the human skeleton not only varies from one ethnic group to another but also between the individuals of the same race. The morphometric measurements of human skeleton have implications in orthopaedic surgery with respect to diagnosis of the pathology as well as with respect to surgical treatment of the same. One such important index in orthopaedics is the carpal height ratio. In this study we evaluated the carpal height ratio using different methods in our healthy population to formulate a reference database with which a pathological value can be compared and also compared our data with that of the different races in the literature.

Subject and Methods: This study was conducted on 120 normal wrist radiographs. The carpal height ratio and the revised carpal height ratio were calculated using Youm’s and Nattrass methods respectively. The results were evaluated statistically and the ratios between two age groups and between male and female gender were compared using t-test. A p-value of ˂ 0.05 was considered as statistically significant.

Results: The age of the patients ranged from 19 to 60 years with a mean of 39.2 years. The mean carpal height ratio was 0.52 ± 0.05 (range 0.45 t0 0.63) and the revised carpal height ratio ranged from 1.42 to 1.61 with a mean of 1.50 ± 0.06. There was no statistically significant difference in these ratios between the two age groups and between the genders.

Conclusion: A reference database of Youm’s carpal height ratio and Nattrass revised carpal height ratio in our population has been formulated. We did not find any significant difference of these ratios between male and female wrists and also these ratios do not change significantly with the advancing age.

Key words: Carpal height, Youm’s, Nattrass, Kienbock’s, Carpal collapse.

REFERENCES

  1. Bhat AK, Kumar B, Acharya A. Radiographic imaging of the wrist. Indian J Plast Surg 2011;44(2):186-96.
  2. Youm Y, McMurthy RY, Flatt AE, Gillespie TE. Kinematics of the wrist. I. An experimental study of radio-ulnar deviation and flexion-extension. J Bone Joint Surg Am 1978;60(4):423-31.
  3. McMurtry RY, Youm Y, Flatt AE, Gillespie TE. II. Clinical applications. J Bone Joint Surg Am 1978;60(7):955-61.
  4. Nattrass GR, King GJ, Mc Murtry RY, Brant RF. An alternative method for determination of the carpal height ratio. J Bone Joint Surg Am 1994;76:88-94.
  5. Daza L, Arroyo F, Dozal J, Morales J. Carpal collapse in rheumatoid arthritis—prevalence and clinical significance: a preliminary study. J Rheumatol 2001;28(9):1975-8.
  6. Ucan H, Borman PN, Keskin D, Barca N. Carpal collapse in patients with rheumatoid arthritis. Clin Rheumatol 2006;25(6):845-9.
  7. Mack GR, Bosse MJ, Gelberman RH, YU E. The natural history of scaphoid non-union. J Bone Joint Surg Am 1984;66(4):504-9.
  8. Stahelin A, Pfeiffer K, Sennwald G, Segmuller G. Determining carpal collapse. An improved method. J Bone Joint Surg Am 1989;71(9):1400-5.
  9. Schuind FA, Linscheid RL, An KN, Chao EY. A normal data base of posteroanterior roentgenographic measurements of the wrist. J Bone Joint Surg Am 1992;74:1418-29.
  10. Safi Khani Z, Nozad H, Fakour M. A study of the radiological carpal kinematic index in the wrist of normal individuals in Ahwaz city. Jundishapur Sci Med J 2000;28:56-61.
  11. Wang YC, Tseng YC, Chang HY, Wang YJ, Chen CJ, Wu DY. Gender differences in carpal height ratio in a Taiwanese population. J Hand Surg Am 2010;35(2):252-5.
  12. Foteva M, Poposka A. Kinematic radiographic measurements of the wrist in the healthy population in the Republic of Macedonia. Prilozi 2010;31(2):83-93.
  13. Jafari D, Taheri H, Shariatzade H, Mazhar FN, Jalili A, Ghahramani M. Radiographic indices in one hundred fifty normal Iranian wrists. Med J Islam Repub Iran 2012;26(3):132-9.
  14. Torres-Gonzalez R, Fuentes-Figueroa S, Franco-Valencia M. Carpal bones and joints: roentgenographic measurements in 20- to 70-year old healthy Mexicans. Cir Cir 2006;74(6):457-62.

Cite this article: Masarat Jehan, Nadeem Ali, Mohammad Saleem Itoo, Shaheen Shahdad, Altaf Ahmad Kawoosa. CARPAL HEIGHT RATIO IN KASHMIRI POPULATION: A STUDY OF ONE HUNDRED AND TWENTY WRIST RADIOGRAPHS. Int J Anat Res 2019;7(1.3):6314-6318. DOI: 10.16965/ijar.2019.108