Acceptable range of forearm deformity derived from relation to three-dimensional analysis and clinical impairments

Shiode, Ryoya; Miyamura, Satoshi; Kazui, Arisa; Iwahashi, Toru; Tanaka, Hiroyuki; Okada, Seiji; Murase, Tsuyoshi; Oka, Kunihiro

doi:https://doi.org/10.1002/jor.25805

Acceptable range of forearm deformity derived from relation to three-dimensional analysis and clinical impairments

Shiode, Ryoya; Miyamura, Satoshi; Kazui, Arisa et al.

Journal of Orthopaedic Research, 2024, 42(7), 1509-1518

アクセス数:1,257件（2025-07-19 21:29 集計）

固定URL: https://hdl.handle.net/11094/95275

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タイトル	Acceptable range of forearm deformity derived from relation to three-dimensional analysis and clinical impairments
著者	NRID 1000030964449 1000030964449 researchmap permalink RyoyaShiode RyoyaShiode ORCID 0000-0002-3148-0399 0000-0002-3148-0399 著者名 Shiode, Ryoya
	NRID 1000010897599 1000010897599 ORCID 0000-0002-2245-5554 0000-0002-2245-5554 researchmap permalink SatoshiMiyamura SatoshiMiyamura Scopus Author ID 57193504364 57193504364 著者名 Miyamura, Satoshi
	著者名 Kazui, Arisa
	NRID 1000040852108 1000040852108 researchmap permalink tiwa tiwa 著者名 Iwahashi, Toru
	NRID 1000000432542 1000000432542 researchmap permalink tanahiro-osk tanahiro-osk Scopus Author ID 55628564591 55628564591 著者名 Tanaka, Hiroyuki
	NRID 1000030448435 1000030448435 ORCID 0000-0002-5107-8209 0000-0002-5107-8209 researchmap permalink okadaseiji okadaseiji Scopus Author ID 35079139100 35079139100 著者名 Okada, Seiji
	NRID 1000050335361 1000050335361 ORCID 0000-0001-5628-5891 0000-0001-5628-5891 researchmap permalink tmurase-osk tmurase-osk Scopus Author ID 7202678305 7202678305 著者名 Murase, Tsuyoshi
	NRID 1000050724085 1000050724085 researchmap permalink kunihiro kunihiro Scopus Author ID 8529412800 8529412800 著者名 Oka, Kunihiro
キーワード等	3D deformity analysis
	acceptable range of forearm deformity
	deformity patterns
	forearm diaphyseal fractures
内容	Shiode R., Miyamura S., Kazui A., et al. Acceptable range of forearm deformity derived from relation to three-dimensional analysis and clinical impairments. Journal of Orthopaedic Research , (2024); https://doi.org/10.1002/jor.25805.
抄録	This study aimed to investigate deformity patterns that cause clinical impairments and determine the acceptable range of deformity in the treatment of forearm diaphyseal fractures. A three-dimensional (3D) deformity analysis based on computed bone models was performed on 39 patients with malunited diaphyseal both-bone forearm fractures to investigate the 3D deformity patterns of the radius and ulna at the fracture location and the relationship between 3D deformity and clinical impairments. Clinical impairments were evaluated using forearm motion deficit. Cutoff values of forearm deformities were calculated by performing receiver operating characteristic analysis using the deformity angle and the limited forearm rotation range of motion (less than 50° of pronation or supination) resulting in activities of daily living (ADL) impairment as variables. The extension, varus, and pronation deformities most commonly occurred in the radius, whereas the extension deformity was commonly observed in the ulna. A positive correlation was observed between pronation deficit and extension deformity of the radius (R = 0.41) and between supination deficit and pronation deformity of the ulna (R = 0.44). In contrast, a negative correlation was observed between pronation deficit and pronation deformity of the radius (R = −0.44) and between pronation deficit and pronation deformity of the ulna (R = −0.51). To minimize ADL impairment, radial extension deformity should be <18.4°, radial rotation deformity <12.8°, and ulnar rotation deformity <16.6°. The deformities in the sagittal and axial planes of the radius and in the axial plane of the ulna were responsible for the limited forearm rotation.
出版者	John Wiley and Sons Inc
収録物名	Journal of Orthopaedic Research
巻(号)	42(7)
ページ	1509-1518
刊行年月	2024-02-28
言語	英語
ハンドルURL	https://hdl.handle.net/11094/95275
PISSN	07360266
eISSN	1554527X
関連情報 (isIdenticalTo)	DOI (出版社版) https://doi.org/10.1002/jor.25805
アクセス権	open access
権利情報	This article is licensed under a Creative Commons Attribution 4.0 International License.
出版タイプ	Version of Record
カテゴリ	学術雑誌論文 Journal Article

資源タイプ	学術雑誌論文
ローカル資源タイプ	学術雑誌論文
DCMI資源タイプ	text
DCTERMS.bibliographicCitation	Journal of Orthopaedic Research. 2024, 42(7), p. 1509-1518
DC.title	Acceptable range of forearm deformity derived from relation to three-dimensional analysis and clinical impairments
DC.creator	Shiode, Ryoya
	Miyamura, Satoshi
	Kazui, Arisa
	Iwahashi, Toru
	Tanaka, Hiroyuki
	Okada, Seiji
	Murase, Tsuyoshi
	Oka, Kunihiro
DC.publisher	John Wiley and Sons Inc
DC.language' scheme='DCTERMS.RFC1766	英語
DC.type' scheme='DCTERMS.DCMIType	text
DCTERMS.issued' scheme='DCTERMS.W3CDTF	2024-02-28
DC.identifier	https://doi.org/10.1002/jor.25805
DC.subject	3D deformity analysis
	acceptable range of forearm deformity
	deformity patterns
	forearm diaphyseal fractures
DC.description	Shiode R., Miyamura S., Kazui A., et al. Acceptable range of forearm deformity derived from relation to three-dimensional analysis and clinical impairments. Journal of Orthopaedic Research , (2024); https://doi.org/10.1002/jor.25805.
DCTERMS.abstract	This study aimed to investigate deformity patterns that cause clinical impairments and determine the acceptable range of deformity in the treatment of forearm diaphyseal fractures. A three-dimensional (3D) deformity analysis based on computed bone models was performed on 39 patients with malunited diaphyseal both-bone forearm fractures to investigate the 3D deformity patterns of the radius and ulna at the fracture location and the relationship between 3D deformity and clinical impairments. Clinical impairments were evaluated using forearm motion deficit. Cutoff values of forearm deformities were calculated by performing receiver operating characteristic analysis using the deformity angle and the limited forearm rotation range of motion (less than 50° of pronation or supination) resulting in activities of daily living (ADL) impairment as variables. The extension, varus, and pronation deformities most commonly occurred in the radius, whereas the extension deformity was commonly observed in the ulna. A positive correlation was observed between pronation deficit and extension deformity of the radius (R = 0.41) and between supination deficit and pronation deformity of the ulna (R = 0.44). In contrast, a negative correlation was observed between pronation deficit and pronation deformity of the radius (R = −0.44) and between pronation deficit and pronation deformity of the ulna (R = −0.51). To minimize ADL impairment, radial extension deformity should be <18.4°, radial rotation deformity <12.8°, and ulnar rotation deformity <16.6°. The deformities in the sagittal and axial planes of the radius and in the axial plane of the ulna were responsible for the limited forearm rotation.
DC.rights	This article is licensed under a Creative Commons Attribution 4.0 International License.
DC.format	95275
citation_title	Acceptable range of forearm deformity derived from relation to three-dimensional analysis and clinical impairments
citation_author	Shiode, Ryoya
	Miyamura, Satoshi
	Kazui, Arisa
	Iwahashi, Toru
	Tanaka, Hiroyuki
	Okada, Seiji
	Murase, Tsuyoshi
	Oka, Kunihiro
citation_publisher	John Wiley and Sons Inc
citation_language	英語
citation_date	2024-02-28
citation_journal_title	Journal of Orthopaedic Research
citation_volume	42
citation_issue	7
citation_firstpage	1509
citation_lastpage	1518
citation_doi	https://doi.org/10.1002/jor.25805
citation_public_url	https://hdl.handle.net/11094/95275

Acceptable range of forearm deformity derived from relation to three-dimensional analysis and clinical impairments

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