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Distal radius morphometry of volar curvature along with scaphoid and lunate facet inclinations and ulnar variance in the Anatolian population
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  • Published: 09 January 2026

Distal radius morphometry of volar curvature along with scaphoid and lunate facet inclinations and ulnar variance in the Anatolian population

  • Pelin İsmailoğlu1,
  • Ufuk Nalbantoğlu2,
  • Okan Tok2,
  • Alp Bayramoğlu3,
  • Abdul Veli İsmailoğlu4 &
  • …
  • Fatma Güler Yildirim5 

Scientific Reports , Article number:  (2026) Cite this article

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Subjects

  • Anatomy
  • Diseases
  • Medical research

Abstract

This study evaluates the morphometric characteristics of the volar distal radius, specifically volar curvature, scaphoid and lunate facet inclinations, and ulnar variance, in the Anatolian population. By identifying these population specific morphological variations, the study seeks to support improved anatomical compatibility of volar implants and enhance surgical planning for distal radius fracture fixation. Morphometric measurements were analyzed retrospectively on three-dimensional computed tomography images of 103 intact distal radii. Standardized sagittal sections were created through the midpoints of the scaphoid and lunate fossae, and volar curvature was quantified as the angle between the radial shaft axis and the volar cortex at 1 cm and 2 cm proximal to the distal radius volar rim on each section. Volar inclination angles were measured at 1 cm and 2 cm. Additionally, volar width (G), scaphoid facet inclination (SFI), lunate facet inclination (LFI), interfacet angle (IFA), and ulnar variance were evaluated. Volar curvature measured 1 cm and 2 cm proximal to the scaphoid and lunate fossae was significantly greater in males than females (p < .05). The mean transverse volar width was 26.5 mm, with no significant differences according to gender, age, or laterality (p > .05). The mean ulnar variance was − 2.0 ± 2.2 mm, while the mean LFI, SFI, and IFA were − 0.1° ± 8.4°, 26.1° ± 6.9°, and 24.2° ± 10.4°, respectively. This study demonstrates notable anatomical variations in the volar distal radius within the Anatolian population, particularly in volar curvature, scaphoid and lunate facet inclinations, and ulnar variance. These population specific morphometric differences underscore the importance of integrating multiple volar parameters into preoperative planning, as they may directly influence implant selection and improve the accuracy of distal radius fracture fixation.

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Data availability

The datasets generated and analysed during the current study are not publicly available due to the nature of the data (reconstructed radiological CT images obtained from the hospital archive), but are available from the corresponding author on reasonable request.

References

  1. Court-Brown, C. M. & Caesar, B. Epidemiology of adult fractures: a review. Injury 37 (8), 691–697 (2006).

    Google Scholar 

  2. Nalbantoglu, U. et al. Comparison between fixation with dorsal T plate and palmar locking plate in the treatment of unstable displaced distal radius fractures. Acta Orthop. Traumatol. Turc. 42 (5), 365–372 (2008).

    Google Scholar 

  3. Imatani, J. & Akita, K. Volar distal radius anatomy applied to the treatment of distal radius fracture. J. Wrist Surg. 6 (03), 174–177 (2017).

    Google Scholar 

  4. Waitayawinyu, T. et al. Comparative Biomechanical study of fragment-specific plates and headless screws for radial styloid and lunate facet fixation in distal radius fracture evaluated in a synthetic composite. J. Hand. Surg. 50 (7), 887 (2025). e1-887. e10.

    Google Scholar 

  5. Yoneda, H. et al. Interindividual anatomical variations affect the plate-to‐bone fit during osteosynthesis of distal radius fractures. J. Orthop. Res. 34 (6), 953–960 (2016).

    Google Scholar 

  6. Yildirim, T., Unsal, S. S. & Armangil, M. Association of the interfacet angle and the lunate facet inclination angle with Kienböck disease. J. Hand. Surg. 47 (4), 391 (2022). e1-391. e6.

    Google Scholar 

  7. Altamimi, A. R. Association between carpal height ratio and ulnar variance in normal wrist radiography. BMC Musculoskelet. Disord. 25 (1), 524 (2024).

    Google Scholar 

  8. Oppermann, J. et al. Distal radius: anatomical morphometric gender characteristics. Do anatomical pre-shaped plates pay attention on it? Arch. Orthop. Trauma Surg. 135, 133–139 (2015).

    Google Scholar 

  9. Singh, T. S. P., Sadagatullah, A. N. & Yusof, A. H. Morphology of distal radius curvatures: a CT-based study on the Malaysian Malay population. Singapore Med. J. 56 (10), 562 (2015).

    Google Scholar 

  10. Ghalimah, B. A. et al. A preliminary exploration of ulnar variance in healthy wrists at a tertiary hospital in Jeddah. Saudi Med. J. 37 (8), 843 (2016).

    Google Scholar 

  11. Arik, A. et al. Facet inclinations and interfacet angle of the distal radius on posteroanterior radiographs. J. Hand. Surg. 45 (1), 65 (2020). e1-65. e8.

    Google Scholar 

  12. Corporation, I. IBM SPSS Statistics for MAC OS, Version 26.0. Armonk, NY IBM Corp. (2019).

  13. Koo, T. K. & Li, M. Y. A guideline of selecting and reporting intraclass correlation coefficients for reliability research. J. Chiropr. Med. 15 (2), 155–163 (2016).

    Google Scholar 

  14. Ağir, I. et al. Distal radius measurements and efficacy of fixed-angle locking volar plates. Turk. J. Med. Sci. 44 (1), 36–41 (2014).

    Google Scholar 

  15. RiKli, D. A. & Regazzoni, P. Fractures of the distal end of the radius treated by internal fixation and early function: a preliminary report of 20 cases. J. Bone Joint Surg. Br. Volume. 78 (4), 588–592 (1996).

    Google Scholar 

  16. Nalbant, A. et al. Evaluación Radiológica Del Ángulo cortical volar En La Población Anatoliana. Int. J. Morphology. 41 (5), 1508–1512 (2023).

    Google Scholar 

  17. Tanaka, Y. et al. Effect of distal radius volar plate position on contact pressure between the flexor pollicis longus tendon and the distal plate edge. J. Hand. Surg. 36 (11), 1790–1797 (2011).

    Google Scholar 

  18. Afshar, A., Aminzadeh-Gohari, A. & Yekta, Z. The association of Kienböck’s disease and ulnar variance in the Iranian population. J. Hand Surg. (European Volume). 38 (5), 496–499 (2013).

    Google Scholar 

  19. Gehweiler, D. et al. Computerized anatomy of the distal radius and its relevance to volar plating, research, and teaching. Clin. Anat. 32 (3), 361–368 (2019).

    Google Scholar 

  20. Sato, K. et al. Volar locking plates not touching the flexor pollicis longus tendon appear as prominences on radiographs: a cadaver study. J. Orthop. Traumatol. 20, 1–7 (2019).

    Google Scholar 

  21. Kwon, B. C. et al. Morphometric variations in the volar aspect of the distal radius. Clin. Orthop. Surg. 10 (4), 462–467 (2018).

    Google Scholar 

  22. Yalçın, A. & Polat, A. Evaluation of radiographic measurements of the wrist in the Turkish population. J. Surg. Med. 6 (1), 36–42 (2022).

    Google Scholar 

  23. Lee, S. et al. CT-based three-dimensional kinematic comparison of dart-throwing motion between wrists with malunited distal radius and contralateral normal wrists. Clin. Radiol. 69 (5), 462–467 (2014).

    Google Scholar 

  24. Li, L., Liu, X. & Zhang, L. Real-time biofeedback monitoring rehabilitation of distal radius fracture. J. Neuroeng. Rehabil. 22 (1), 211 (2025).

    Google Scholar 

Download references

Acknowledgements

The authors would like to sincerely thank the Acıbadem University Scientific Research Projects Office for their support in the planning and execution of this study. Special thanks are also extended to the academics and staff of the Department of Anatomy at Istanbul University-Cerrahpaşa for their valuable contributions throughout the study.

Author information

Authors and Affiliations

  1. Department of Anatomy, School of Medicine, Recep Tayyip Erdoğan University, Rize, 53020, Turkey

    Pelin İsmailoğlu

  2. Private Practice, Orthopaedics and Traumatology, Hand Surgery and Microsurgery, Terrace Fulya Center, İstanbul, 34394, Turkey

    Ufuk Nalbantoğlu & Okan Tok

  3. Department of Anatomy, School of Medicine, Acıbadem Mehmet Ali Aydınlar University, İstanbul, 34752, Turkey

    Alp Bayramoğlu

  4. Department of Anatomy, School of Medicine, Marmara University, İstanbul, 34854, Turkey

    Abdul Veli İsmailoğlu

  5. Department of Anatomy, School of Medicine, İstanbul Beykent University, İstanbul, 34500, Turkey

    Fatma Güler Yildirim

Authors
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Contributions

Author Contributions: P.İ. collected, compiled, and analyzed the data, and wrote the manuscript. U.N. conceptualized the study and curated the data. O.K. performed formal analysis and data validation. A.B. supervised the project and reviewed the manuscript. A.V.İ. created the figures and assisted with the methodology. G.K.Y. supervised and edited the manuscript.

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Correspondence to Pelin İsmailoğlu.

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The authors declare no competing interests.

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İsmailoğlu, P., Nalbantoğlu, U., Tok, O. et al. Distal radius morphometry of volar curvature along with scaphoid and lunate facet inclinations and ulnar variance in the Anatolian population. Sci Rep (2026). https://doi.org/10.1038/s41598-026-35123-2

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  • Received: 15 May 2025

  • Accepted: 02 January 2026

  • Published: 09 January 2026

  • DOI: https://doi.org/10.1038/s41598-026-35123-2

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Keywords

  • Distal radius fractures
  • Volar inclination angles
  • Orthopedic surgery
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