Greater Tuberosity Fractures: Does Fracture Assessment and Treatment Recommendation Vary Based on Imaging Modality?

Clinical Orthopaedics and Related Research
Stein JanssenDavid Ring

Abstract

For greater tuberosity fractures, 5-mm displacement is a commonly used threshold for recommending surgery; however, it is unclear if displacement can be assessed with this degree of precision and reliability using plain radiographs. It also is unclear if CT images provide additional information that might change decision making. We asked: (1) Does interobserver agreement for assessment of the amount and direction of fracture-fragment displacement vary based on imaging modality (radiographs only; 2-dimensional [2-D] CT images and radiographs; and 3-dimensional [3-D] and 2-D CT images and radiographs)? (2) Does the likelihood of recommending surgery vary based on imaging modality? (3) Does the level of confidence regarding the decision for treatment vary based on imaging modality? We invited 791 orthopaedic surgeons to complete a survey on greater tuberosity fractures. One hundred eighty (23%) responded and were randomized on a 1:1:1 basis in one of the three imaging modality groups and evaluated the same set of 22 fractures. We described age, sex, mechanism of injury, days between injury and imaging, and that patients had no comorbidities or signs of neurovascular damage for every case. One hundred sixty-four of the 180 responde...Continue Reading

References

Oct 23, 1997·Journal of Orthopaedic Trauma·P S ChanR B Heppenstall
Jan 5, 2001·Journal of Radiological Protection : Official Journal of the Society for Radiological Protection·F A MettlerC A Kelsey
Jul 31, 2001·Radiology·M G GillanUNKNOWN Scottish Back Trial Group
Dec 13, 2003·Journal of Shoulder and Elbow Surgery·Andrew Green, Joseph Izzi
Jun 8, 2006·The Journal of Bone and Joint Surgery. American Volume·Neil G HarnessJesse B Jupiter
Oct 19, 2006·Injury·Michael L Bernstein, Kevin C Chung
Feb 5, 2008·Injury·Konrad I GrusonNirmal C Tejwani
Aug 5, 2009·The Journal of Bone and Joint Surgery. American Volume·Debdut BiswasJonathan N Grauer
Jul 12, 2012·Frontiers in Psychology·W Holmes Finch
Sep 1, 1994·Journal of Shoulder and Elbow Surgery·J M ChunC A Rockwood
Sep 6, 2013·The Journal of Bone and Joint Surgery. American Volume·Wendy E BruinsmaUNKNOWN Science of Variation Group
Mar 8, 2014·Clinics in Orthopedic Surgery·Jeehyoung Kim, Wonshik Shin
Dec 17, 2014·The Journal of Hand Surgery·Jos J MellemaDavid Ring
Jun 19, 2015·Clinical Orthopaedics and Related Research·Stein J JanssenUNKNOWN Science Of Variation Group

❮ Previous
Next ❯

Citations

Nov 2, 2017·Hand : Official Journal of the American Association for Hand Surgery·Wouter F van LeeuwenDavid Ring
Jun 12, 2018·Obere Extremität·Benedikt SchliemannAlexander Ellwein
Jul 2, 2019·Orthopaedic Journal of Sports Medicine·Austin PitcherBrian T Feeley
Sep 17, 2020·Orthopaedics & Traumatology, Surgery & Research : OTSR·Samuel R HuntleyAmit M Momaya
Aug 13, 2021·Journal of Wrist Surgery·David W G LangerhuizenJob N Doornberg
Aug 25, 2021·Clinical Orthopaedics and Related Research·Reinier W A SpekUNKNOWN Traumaplatform 3D Consortium

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Clinical Orthopaedics and Related Research
Stein JanssenScience of Variation Group
The American Journal of Orthopedics
Arun J RamappaJoseph P DeAngelis
© 2022 Meta ULC. All rights reserved