Abstract:
OBJECTIVE:Our study aims to compare the sensitivity and specificity between orthopaedic trainees and radiologists in diagnosing occult hip fractures from pelvic radiographs. METHODS:All patients undergoing computed tomography (CT) of the hip for a suspected occult hip fracture at our two centres between November 1, 2010 and October 31, 2011 were retrospectively identified. Two orthopaedic trainees (RJ and ED) independently reviewed the initial radiographs, and if both agreed a fracture was present this was recorded. The reports from the radiologist of the initial radiograph and subsequent CT were recorded, with the CT report used as the standard of reference for comparison of performance. RESULTS:239 CTs were performed for suspected neck of femur fractures during the study period, compared to only 20 in 2006-07, reflecting a 1,095 % increase. The interpretation of radiographs by the orthopaedic trainees showed a sensitivity of 55.4 % and specificity of 96.6 %. In comparison, the radiologists had a sensitivity of 60.7 % and specificity of 92.9 %; this difference was shown not to be statistically significant. Radiologists and orthopaedic trainees agreed when interpreting the majority of radiographs with a Kappa co-efficient of 0.77 (a statistical measure of inter-rater agreement). In 20 of the 174 cases (11.5 %) where the radiologist and orthopaedic trainees agreed no fracture was present, the subsequent CT revealed a fracture. CONCLUSION:Orthopaedic trainees and radiologists have similar accuracy at interpreting pelvic radiographs for suspected hip fractures, so the trainee's opinion can be relied upon. If uncertainty exists, then either the orthopaedic trainee or radiologist should request further imaging urgently as we believe this will expedite diagnosis and treatment of hip fractures, and ensure judicious use of CT.
journal_name
Skeletal Radioljournal_title
Skeletal radiologyauthors
Jordan RW,Dickenson E,Baraza N,Srinivasan Kdoi
10.1007/s00256-012-1472-8subject
Has Abstractpub_date
2013-02-01 00:00:00pages
173-6issue
2eissn
0364-2348issn
1432-2161journal_volume
42pub_type
杂志文章abstract:OBJECTIVE:To characterize the radiologic features of postradiation sarcomas arising in the pelvic bones following treatment for uterine cervical carcinoma. DESIGN AND PATIENTS:Five patients who developed postradiation sarcomas in the pelvic bones following radiation therapy for carcinoma of the uterine cervix within t...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s002560000318
更新日期:2001-03-01 00:00:00
abstract:OBJECTIVE:To investigate the advantages of using tomosynthesis (TS) compared to radiographs in the detection, characterization, and follow-up of bisphosphonate-related atypical femur fractures (BP-AFF). SUBJECTS AND METHODS:Eight patients were identified retrospectively who underwent TS for radiographic findings suspi...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-016-2342-6
更新日期:2016-05-01 00:00:00
abstract:OBJECTIVE:The purpose of this study is to investigate if relying on postal questionnaires returned by patients provides an accurate representation of reported outcomes from patients receiving imaging-guided lumbar nerve root injections (NRIs). MATERIALS AND METHODS:Patients who received imaging-guided transforaminal l...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-013-1673-9
更新日期:2013-10-01 00:00:00
abstract:OBJECTIVE:To quantify whether injected cement volumes differed between two groups of patients who underwent experimental minimally invasive percutaneous cement injection procedures to stabilize aseptically loose hip prostheses. One patient group was preoperatively treated using gene-directed enzyme prodrug therapy to r...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-014-1924-4
更新日期:2014-11-01 00:00:00
abstract:OBJECTIVES:The objectives of this communication were to discuss radiographic and magnetic resonance (MR) imaging manifestations and clinical outcome after complete and incomplete resection of the mass of dysplasia epiphysealis hemimelica (DEH). MATERIALS AND METHODS:Clinical records, radiographs, and MR images of eigh...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-009-0803-x
更新日期:2010-01-01 00:00:00
abstract::Chromomycosis is primarily a skin disease that superficially presents as slowly growing, verrucous lesions, often warty or cauliflower-like in appearance. It may occasionally create a flat, plaque-like lesion in the skin but deep-seated tumorous presentation has not previously been reported. As the lesion is limited t...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-008-0580-y
更新日期:2009-02-01 00:00:00
abstract::Plain radiographs of the limbs were reviewed after replantation procedures following traumatic amputation in 5 patients at the wrist (2), mid-forearm (2) and knee (1). Following upper limb replantation, rapid development of osteopaenia was initially noted in the juxta-articular regions and metaphyses of the tubular bo...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/BF00242128
更新日期:1992-01-01 00:00:00
abstract:OBJECTIVE:The objectives of the current study were (1) to quantify the incidence of increased T2 signal in the distal clavicle and (2) to assess the clinical significance of this finding in patients with chronic acromioclavicular (AC) joint pain. DESIGN AND PATIENTS:Eight patients (five male and three female, 15-41 ye...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s002560000284
更新日期:2000-12-01 00:00:00
abstract::Axial magnetic resonance (MR) imaging of the patellofemoral compartment was performed in 75 patients with arthroscopic correlation. Proton density and T2(2500/20/80) weighted images were obtained in all patients. Chondromalacia in stages I and II could not be reliably identified with MR imaging. For the evaluation of ...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/BF00198391
更新日期:1993-01-01 00:00:00
abstract::Digital and manual subtraction images obtained during the arthrographic evaluation of 78 painful hip prostheses were reviewed retrospectively. Revision arthroplasty was performed in 53 of these cases, and the arthrographic and surgical findings were correlated. The digital and manual subtraction images were evaluated ...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/BF00191080
更新日期:1991-01-01 00:00:00
abstract::Liposarcoma is a relatively common soft tissue malignancy with a wide spectrum of clinical presentations and imaging appearances. Several subtypes are described, ranging from lesions nearly entirely composed of mature adipose tissue, to tumors with very sparse adipose elements. The imaging appearance of these fatty ma...
journal_title:Skeletal radiology
pub_type: 杂志文章,评审
doi:10.1007/s00256-003-0647-8
更新日期:2003-09-01 00:00:00
abstract:OBJECTIVE:To investigate the accuracy of plain radiographs, and the effect of observer experience, in the assessment of ankle effusions compared with an MRI gold standard. DESIGN AND PATIENTS:Anteroposterior (AP) and lateral radiographs of the ankle of 39 patients were evaluated by four observers, ranging from first-y...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-004-0833-3
更新日期:2004-12-01 00:00:00
abstract:OBJECTIVE:This study evaluated the correlation between central and peripheral bone mineral density (BMD) of the ankle joint, using dual-energy X-ray absorptiometry (DXA). We also investigated whether peripheral ankle BMD could be used to identify individuals who were diagnosed with osteoporosis, using central DXA. MET...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-018-2876-x
更新日期:2018-08-01 00:00:00
abstract::Indications for hand surgeries include unremitting joint pain, deformity and stiffness, often secondary to arthritis. Several surgical options are available, including arthrodesis (fusion) and joint arthroplasty. Classically arthrodesis is performed in situations with poor bone stock and supporting soft tissues. Arthr...
journal_title:Skeletal radiology
pub_type: 杂志文章,评审
doi:10.1007/s00256-017-2591-z
更新日期:2017-05-01 00:00:00
abstract::The radiomorphological appearance of fibrous metaphyseal defects (FMDs) is demonstrated by long-term follow-up studies. A characteristic radiomorphological course rather than a typical single appearance can be established. These findings correlate well with the duration of these tumor-like lesions; therefore, the radi...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/BF00361448
更新日期:1988-01-01 00:00:00
abstract:OBJECTIVE:Intraarticular gadolinium-enhanced magnetic resonance arthrography (MRA) is commonly applied to characterize morphological disorders of the hip. However, the reproducibility of retrieving anatomic landmarks on MRA scans and their correlation with intraarticular pathologies is unknown. A precise mapping system...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-014-2026-z
更新日期:2015-03-01 00:00:00
abstract:OBJECTIVE:Post-operative shoulder patients are often difficult to image due to scar tissue, metallic artifact, and residual irregularity of anatomic structures. The purpose of this study was to assess MR versus MR arthrography versus CT arthrography in the post-operative shoulder. Also, we assessed whether injecting CT...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-018-2927-3
更新日期:2018-09-01 00:00:00
abstract::The appearance on magnetic resonance imaging (MRI) of 16 cases of pathologically proven eosinophilic granuloma were reviewed retrospectively and correlated with the radiographic appearance of the lesion. The most common MR appearance (ten cases) was a focal lesion, surrounded by an extensive, ill-defined bone marrow a...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/BF00206144
更新日期:1993-01-01 00:00:00
abstract::Lipomatosis of nerve is a rare benign tumor-like process characterized by infiltration of the epineurium by adipose and fibrous tissue leading to nerve enlargement. We describe a case of lipomatosis of the sciatic nerve compressed by an adjacent desmoid tumor. This case supports the hypothesis that lipomatosis of nerv...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-013-1671-y
更新日期:2013-12-01 00:00:00
abstract::Most authorities favor the hypothesis of an acquired etiology of os odontoideum. We present the cases of identical twin sisters with os odontoideum in association with a congenital partial fusion of the posterior elements of the second and third cervical vertebrae, and discuss the implications. We believe that this is...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/BF00209102
更新日期:1993-10-01 00:00:00
abstract::Idiopathic intervertebral disc calcification is a rare condition in children with a very good prognosis. As there are no biological markers, imaging is invaluable for diagnosing this "do not touch" lesion. While the characteristic feature is nucleus pulposus calcification at one or more cervical or thoracic levels, it...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-021-03713-y
更新日期:2021-01-22 00:00:00
abstract:OBJECTIVE:To review the risk factors and the radiological appearance of insufficiency fractures of the sacrum and acetabular roof. DESIGN AND PATIENTS:Twenty patients with sacral and acetabular roof insufficiency fractures were reviewed retrospectively. There were 16 women (80%) and 4 males (age range 48-86 years, exc...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s002560050278
更新日期:1997-09-01 00:00:00
abstract::The Magnetic Resonance Imaging (MRI) appearances of primary osseous hemangiopericytoma (HPC) have been rarely described. We report on a 46-year-old Chinese man with primary osseous HPC of the right tibia. The characteristic vascular distribution of this tumor, presenting with a "spoke-wheel" appearance on MR images an...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s002560050009
更新日期:2000-01-01 00:00:00
abstract::Selective digital subtraction arteriographic investigations of the arteries of the femoral head in 31 patients with traumatic and 34 patients with nontraumatic femoral head necrosis (FHN) were compared with investigations in a control group of 35 patients without hip disease. In the control group and in patients with ...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/BF00361467
更新日期:1987-01-01 00:00:00
abstract:OBJECTIVE:The objective of this study was to describe the suprascapular nerve block using CT guidance and to evaluate the short- and medium-term efficacy in a range of shoulder pathologies. DESIGN AND PATIENTS:CT-guided infiltration around the suprascapular nerve was performed with bupivacaine and Celestone Chronodose...
journal_title:Skeletal radiology
pub_type: 临床试验,杂志文章
doi:10.1007/s00256-003-0733-y
更新日期:2004-05-01 00:00:00
abstract:OBJECTIVE:The purpose of this study was to evaluate differences in parameters of diffusion kurtosis imaging (DKI) and minimum apparent diffusion coefficient (ADCmin) between benign and malignant musculoskeletal tumors. MATERIALS AND METHODS:In this prospective study, 43 patients were scanned using a DKI protocol on a ...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-018-2946-0
更新日期:2019-02-01 00:00:00
abstract::Intraosseous epithelioid hemangioma (EH) is a rare intermediate vascular neoplasm, characterized by locally aggressive and rarely metastasizing behavior. Occasionally, EH of bone can behave strangely and may simulate malignant neoplasm. Here, we report two cases of EH of bone. Of interest was the fact that the compute...
journal_title:Skeletal radiology
pub_type: 杂志文章,评审
doi:10.1007/s00256-016-2482-8
更新日期:2016-12-01 00:00:00
abstract:PURPOSE:To compare acetabular version angle measurements of CT scans in the prone and reformatted supine positions. CT acetabular version angle measurements have previously been done in the prone position to correct for pelvic tilt. With the advent of multidetector CT, recent studies have evaluated acetabular version a...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-013-1781-6
更新日期:2014-03-01 00:00:00
abstract::Four cases of limb shortening presenting in childhood are described. All four children had been managed in a neonatal intensive care unit and had developed complications following the insertion of intravascular cannulae. In two, lower limb shortening and deformity were secondary to direct epiphyseal damage following e...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/BF00241795
更新日期:1990-01-01 00:00:00
abstract:UNLABELLED:To evaluate the computed tomography (CT) findings of inflammatory lesions of the sternoclavicular joints (SCJ) in spondylarthropathies. DESIGN AND PATIENTS:CT scans of the SCJs were obtained in 23 patients (group 1) with inflammatory SCJ lesions in spondylarthropathies. These scans were reviewed by four rea...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s002560050258
更新日期:1997-07-01 00:00:00