Discussion Paper — Radiographic Analysis Of A Distal Radius Fracture: Implications For Physical Therapy Intervention

Abstract

Traditionally, physical therapists have considered the field of medical imaging to be the domain of the physician. The more autonomous role assumed by physical therapists is changing this perception. A physical therapist, with his/her understanding of joint biomechanics, may find systematic analysis of plain-film radiographs helpful in guiding therapeutic intervention. The patient presenting with a distal radius fracture offers a challenge to the attending rehabilitation specialist because this fracture seldom occurs as an isolated injury. A radiographic study should be done on patients with injuries to the wrist and hand to determine degree of bony malalignment. Information gained from radiographs can be helpful in setting treatment goals and guiding therapeutic intervention. Radiographic analysis of plain-film radiographs requires a systematic approach so that useful information can be gleaned. The ABCs method of radiographic analysis is just such a method. It guides the physical therapist in the assessment of alignment, bone density, cartilage spaces and soft tissues. A case report is used to illustrate the use of the ABCs method in physical therapy.