Computerized tomographic evaluation of acute distal radial fractures
To learn whether computerized tomography offered additional useful information over conventional radiographic evaluation of acute distal radial fractures in the younger adult, we scanned 22 consecutive injured wrists. Of the distal radial fractures in 19 wrists, sixteen were defined on plain films a...
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| Veröffentlicht in: | The Journal of hand surgery (American ed.) 1992-07, Vol.17 (4), p.738-744 |
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| container_end_page | 744 |
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| container_issue | 4 |
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| container_title | The Journal of hand surgery (American ed.) |
| container_volume | 17 |
| creator | Johnston, Geoffrey H.F. Friedman, Lawrence Kriegler, Johann C. |
| description | To learn whether computerized tomography offered additional useful information over conventional radiographic evaluation of acute distal radial fractures in the younger adult, we scanned 22 consecutive injured wrists. Of the distal radial fractures in 19 wrists, sixteen were defined on plain films as intra-articular. In contrast, computerized tomography demonstrated that all fractures of the distal radius had intra-articular extension. In 3 wrists interpreted as being normal on plain films, despite clinical suspicion of a fracture, fractures were confirmed by computerized tomography. As a result of computerized tomography, injuries were assigned a higher Frykman value in 5 cases, and consideration of alternative patient management became necessary in 5 of the 22 patients. |
| doi_str_mv | 10.1016/0363-5023(92)90326-K |
| format | Article |
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Of the distal radial fractures in 19 wrists, sixteen were defined on plain films as intra-articular. In contrast, computerized tomography demonstrated that all fractures of the distal radius had intra-articular extension. In 3 wrists interpreted as being normal on plain films, despite clinical suspicion of a fracture, fractures were confirmed by computerized tomography. As a result of computerized tomography, injuries were assigned a higher Frykman value in 5 cases, and consideration of alternative patient management became necessary in 5 of the 22 patients.</description><identifier>ISSN: 0363-5023</identifier><identifier>EISSN: 1531-6564</identifier><identifier>DOI: 10.1016/0363-5023(92)90326-K</identifier><identifier>PMID: 1629558</identifier><identifier>CODEN: JHSUDV</identifier><language>eng</language><publisher>New york, NY: Elsevier Inc</publisher><subject>Acute Disease ; Adolescent ; Adult ; Biological and medical sciences ; Carpal Bones - injuries ; Female ; Fractures, Closed - diagnostic imaging ; Humans ; Injuries of the limb. Injuries of the spine ; Male ; Medical sciences ; Middle Aged ; Prospective Studies ; Radius - diagnostic imaging ; Radius Fractures - diagnostic imaging ; Tomography, X-Ray Computed ; Traumas. 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Of the distal radial fractures in 19 wrists, sixteen were defined on plain films as intra-articular. In contrast, computerized tomography demonstrated that all fractures of the distal radius had intra-articular extension. In 3 wrists interpreted as being normal on plain films, despite clinical suspicion of a fracture, fractures were confirmed by computerized tomography. As a result of computerized tomography, injuries were assigned a higher Frykman value in 5 cases, and consideration of alternative patient management became necessary in 5 of the 22 patients.</description><subject>Acute Disease</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Carpal Bones - injuries</subject><subject>Female</subject><subject>Fractures, Closed - diagnostic imaging</subject><subject>Humans</subject><subject>Injuries of the limb. Injuries of the spine</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Prospective Studies</subject><subject>Radius - diagnostic imaging</subject><subject>Radius Fractures - diagnostic imaging</subject><subject>Tomography, X-Ray Computed</subject><subject>Traumas. Diseases due to physical agents</subject><subject>Wrist Injuries - diagnostic imaging</subject><issn>0363-5023</issn><issn>1531-6564</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1992</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kD1PwzAQhi0EKqXwD0DKgBAMATuOnWZBQuVTrcQCs3V2zmCU1MVOKsGvJ6VV2ZhuuOe9j4eQY0YvGWXyinLJU0Ezfl5mFyXlmUynO2TIBGepFDLfJcMtsk8OYvygtM9xMSADJrNSiPGQ3E58s-haDO4bq6T1jX8LsHh3JsEl1B20zs8TbxMwPZRULrZQJwEq1xcbwLRdwHhI9izUEY82dURe7-9eJo_p7PnhaXIzSw0fyzZFaSkHTa2VUFKb6QIFCIZGS5A0zxjPLUeaw1gWJVaFLMFqqamW1uSaaT4iZ-u5i-A_O4ytalw0WNcwR99FVXBaMNG_OCL5GjTBxxjQqkVwDYQvxahayVMrM2plRpWZ-pWnpn3sZDO_0w1Wf6G1rb5_uulDNFD3_8-Ni1tMCFpmcrX9eo1h72LpMKhoHM4NVi6gaVXl3f93_ABrfIvv</recordid><startdate>19920701</startdate><enddate>19920701</enddate><creator>Johnston, Geoffrey H.F.</creator><creator>Friedman, Lawrence</creator><creator>Kriegler, Johann C.</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19920701</creationdate><title>Computerized tomographic evaluation of acute distal radial fractures</title><author>Johnston, Geoffrey H.F. ; Friedman, Lawrence ; Kriegler, Johann C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c386t-e6f03ab0ff6a90f2b7e5a51ecb6a6042134f3e04a8679ed769afb6b0b6fc4b1b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1992</creationdate><topic>Acute Disease</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Carpal Bones - injuries</topic><topic>Female</topic><topic>Fractures, Closed - diagnostic imaging</topic><topic>Humans</topic><topic>Injuries of the limb. Injuries of the spine</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Prospective Studies</topic><topic>Radius - diagnostic imaging</topic><topic>Radius Fractures - diagnostic imaging</topic><topic>Tomography, X-Ray Computed</topic><topic>Traumas. Diseases due to physical agents</topic><topic>Wrist Injuries - diagnostic imaging</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Johnston, Geoffrey H.F.</creatorcontrib><creatorcontrib>Friedman, Lawrence</creatorcontrib><creatorcontrib>Kriegler, Johann C.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of hand surgery (American ed.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Johnston, Geoffrey H.F.</au><au>Friedman, Lawrence</au><au>Kriegler, Johann C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Computerized tomographic evaluation of acute distal radial fractures</atitle><jtitle>The Journal of hand surgery (American ed.)</jtitle><addtitle>J Hand Surg Am</addtitle><date>1992-07-01</date><risdate>1992</risdate><volume>17</volume><issue>4</issue><spage>738</spage><epage>744</epage><pages>738-744</pages><issn>0363-5023</issn><eissn>1531-6564</eissn><coden>JHSUDV</coden><abstract>To learn whether computerized tomography offered additional useful information over conventional radiographic evaluation of acute distal radial fractures in the younger adult, we scanned 22 consecutive injured wrists. Of the distal radial fractures in 19 wrists, sixteen were defined on plain films as intra-articular. In contrast, computerized tomography demonstrated that all fractures of the distal radius had intra-articular extension. In 3 wrists interpreted as being normal on plain films, despite clinical suspicion of a fracture, fractures were confirmed by computerized tomography. As a result of computerized tomography, injuries were assigned a higher Frykman value in 5 cases, and consideration of alternative patient management became necessary in 5 of the 22 patients.</abstract><cop>New york, NY</cop><pub>Elsevier Inc</pub><pmid>1629558</pmid><doi>10.1016/0363-5023(92)90326-K</doi><tpages>7</tpages></addata></record> |
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| ispartof | The Journal of hand surgery (American ed.), 1992-07, Vol.17 (4), p.738-744 |
| issn | 0363-5023 1531-6564 |
| language | eng |
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| source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
| subjects | Acute Disease Adolescent Adult Biological and medical sciences Carpal Bones - injuries Female Fractures, Closed - diagnostic imaging Humans Injuries of the limb. Injuries of the spine Male Medical sciences Middle Aged Prospective Studies Radius - diagnostic imaging Radius Fractures - diagnostic imaging Tomography, X-Ray Computed Traumas. Diseases due to physical agents Wrist Injuries - diagnostic imaging |
| title | Computerized tomographic evaluation of acute distal radial fractures |
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