Reference Values for Normal Wrist Parameters in the Thai Population

<b>Background:</b> Radiological wrist parameters are used to evaluate the treatment of distal radius fractures. Accurately restoring the distal radius is essential for good functional outcomes, but the reference values used for the Thai population are based on Western databases. This study aims to determine the reference values for normal wrist parameters in the Thai population. <b>Methods:</b> Two orthopaedic hand surgeons analysed 200 posteroanterior (PA) and lateral wrist radiographs, measuring radial height, radial inclination, ulnar variance and volar tilt using the central reference point (CRP) as a reference, with comparisons between sex and wrist side. Interobserver reliability was assessed using the intraclass correlation coefficient (ICC). <b>Results:</b> The mean values of wrist parameters were as follows: radial height, 10.7 ± 1.3 mm; radial inclination, 22.8° ± 2.4°; ulnar variance, -0.2 ± 1.2 mm and volar tilt, 13.5° ± 3.0°. All parameters had significant sex-based differences, with higher radial height in males and higher radial inclination, ulnar variance and volar tilt in females. No significant differences were found between the wrist sides. The interobserver reliability was excellent for radial inclination (ICC = 0.92) and ulnar variance (ICC = 0.93) and good for radial height (ICC = 0.90) and volar tilt (ICC = 0.79). <b>Conclusions:</b> Reference values were established for normal wrist parameters in the Thai population, with notable sex-based differences. The values are comparable to Western references except for volar tilt, which is higher in Thais. These findings can be applied in the treatment of distal radius fractures, the design of implants and the development of research or artificial intelligence databases. <b>Level of Evidence:</b> Level IV (Diagnostic).