Plain Radiographic Interpretation in Trimalleolar Ankle Fractures Poorly Assesses Posterior Fragment Size
Twenty-five patients with trimalleolar ankle fractures were evaluated using both conventional radiography and computed tomography (CT) to determine the size of the posterior fragment along with other fracture characteristics. Plain radiograph measurements indicated very poor inter- and intraexaminer...
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| Veröffentlicht in: | Journal of orthopaedic trauma 1994-08, Vol.8 (4), p.328-331 |
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| container_title | Journal of orthopaedic trauma |
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| creator | Ferries, James S DeCoster, Thomas A Firoozbakhsh, Keikhosrow K Garcia, Jose F Miller, Richard A |
| description | Twenty-five patients with trimalleolar ankle fractures were evaluated using both conventional radiography and computed tomography (CT) to determine the size of the posterior fragment along with other fracture characteristics. Plain radiograph measurements indicated very poor inter- and intraexaminer reliability. When compared to the CT scan measurement, 54% of the plain radiographic readings revealed |
| doi_str_mv | 10.1097/00005131-199408000-00009 |
| format | Article |
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Plain radiograph measurements indicated very poor inter- and intraexaminer reliability. When compared to the CT scan measurement, 54% of the plain radiographic readings revealed <25% error. Plain radiographic interpretations erred in most cases by overrating the size of the fragment, but major underestimations also occurred. The larger size fragments showed more error than the smaller ones. This information confirms our clinical suspicion that the lateral radiograph is unreliable in assessing the posterior fragment size</description><identifier>ISSN: 0890-5339</identifier><identifier>EISSN: 1531-2291</identifier><identifier>DOI: 10.1097/00005131-199408000-00009</identifier><identifier>PMID: 7965295</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott-Raven Publishers</publisher><subject>Ankle Injuries - diagnostic imaging ; Ankle Injuries - pathology ; Biological and medical sciences ; Fibula - injuries ; Fractures, Comminuted - diagnostic imaging ; Fractures, Comminuted - pathology ; Humans ; Injuries of the limb. Injuries of the spine ; Medical sciences ; Observer Variation ; Prognosis ; Reproducibility of Results ; Tibial Fractures - diagnostic imaging ; Tibial Fractures - pathology ; Tomography, X-Ray Computed ; Traumas. Diseases due to physical agents</subject><ispartof>Journal of orthopaedic trauma, 1994-08, Vol.8 (4), p.328-331</ispartof><rights>Lippincott-Raven Publishers.</rights><rights>1994 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3849-a4556575fe612fa33d9e84186db3acf6d191f683a12eae1a91fb5695410f8cae3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>310,311,315,782,786,791,792,23937,23938,25147,27931,27932</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=4185729$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/7965295$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ferries, James S</creatorcontrib><creatorcontrib>DeCoster, Thomas A</creatorcontrib><creatorcontrib>Firoozbakhsh, Keikhosrow K</creatorcontrib><creatorcontrib>Garcia, Jose F</creatorcontrib><creatorcontrib>Miller, Richard A</creatorcontrib><title>Plain Radiographic Interpretation in Trimalleolar Ankle Fractures Poorly Assesses Posterior Fragment Size</title><title>Journal of orthopaedic trauma</title><addtitle>J Orthop Trauma</addtitle><description>Twenty-five patients with trimalleolar ankle fractures were evaluated using both conventional radiography and computed tomography (CT) to determine the size of the posterior fragment along with other fracture characteristics. Plain radiograph measurements indicated very poor inter- and intraexaminer reliability. When compared to the CT scan measurement, 54% of the plain radiographic readings revealed <25% error. Plain radiographic interpretations erred in most cases by overrating the size of the fragment, but major underestimations also occurred. The larger size fragments showed more error than the smaller ones. This information confirms our clinical suspicion that the lateral radiograph is unreliable in assessing the posterior fragment size</description><subject>Ankle Injuries - diagnostic imaging</subject><subject>Ankle Injuries - pathology</subject><subject>Biological and medical sciences</subject><subject>Fibula - injuries</subject><subject>Fractures, Comminuted - diagnostic imaging</subject><subject>Fractures, Comminuted - pathology</subject><subject>Humans</subject><subject>Injuries of the limb. Injuries of the spine</subject><subject>Medical sciences</subject><subject>Observer Variation</subject><subject>Prognosis</subject><subject>Reproducibility of Results</subject><subject>Tibial Fractures - diagnostic imaging</subject><subject>Tibial Fractures - pathology</subject><subject>Tomography, X-Ray Computed</subject><subject>Traumas. Diseases due to physical agents</subject><issn>0890-5339</issn><issn>1531-2291</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1994</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1UcFu1DAQtRCobAufgOQD4pbiiePEPq4qCpUqUUE5W7POpGvqjRc7UVW-Hodd9oZlyXpv3pvRPDPGQVyCMN1HUY4CCRUY0whdULVQ5gVbgSp0XRt4yVZCG1EpKc1rdp7zz6LQoq7P2FlnWlUbtWL-LqAf-TfsfXxIuN96x2_GidI-0YSTjyMv5fvkdxgCxYCJr8fHQPw6oZvmRJnfxZjCM1_nTMstOBe_j2nRPOxonPh3_5vesFcDhkxvj-8F-3H96f7qS3X79fPN1fq2clI3psJGqVZ1aqAW6gGl7A3pBnTbbyS6oe3BwNBqiVATEmBBG9Ua1YAYtEOSF-zDoe8-xV8z5cnufHYUAo4U52y7YgYBsgj1QehSzDnRYPfLmunZgrBLyvZfyvaU8l_KFOu744x5s6P-ZDzGWurvj3XMDsOQcHQ-n2RlHdXVS5vmIHuKoUSWH8P8RMluCcO0tf_7Y_kHUdGVdA</recordid><startdate>199408</startdate><enddate>199408</enddate><creator>Ferries, James S</creator><creator>DeCoster, Thomas A</creator><creator>Firoozbakhsh, Keikhosrow K</creator><creator>Garcia, Jose F</creator><creator>Miller, Richard A</creator><general>Lippincott-Raven Publishers</general><general>Lippincott Williams & Wilkins</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>199408</creationdate><title>Plain Radiographic Interpretation in Trimalleolar Ankle Fractures Poorly Assesses Posterior Fragment Size</title><author>Ferries, James S ; DeCoster, Thomas A ; Firoozbakhsh, Keikhosrow K ; Garcia, Jose F ; Miller, Richard A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3849-a4556575fe612fa33d9e84186db3acf6d191f683a12eae1a91fb5695410f8cae3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1994</creationdate><topic>Ankle Injuries - diagnostic imaging</topic><topic>Ankle Injuries - pathology</topic><topic>Biological and medical sciences</topic><topic>Fibula - injuries</topic><topic>Fractures, Comminuted - diagnostic imaging</topic><topic>Fractures, Comminuted - pathology</topic><topic>Humans</topic><topic>Injuries of the limb. Injuries of the spine</topic><topic>Medical sciences</topic><topic>Observer Variation</topic><topic>Prognosis</topic><topic>Reproducibility of Results</topic><topic>Tibial Fractures - diagnostic imaging</topic><topic>Tibial Fractures - pathology</topic><topic>Tomography, X-Ray Computed</topic><topic>Traumas. Diseases due to physical agents</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ferries, James S</creatorcontrib><creatorcontrib>DeCoster, Thomas A</creatorcontrib><creatorcontrib>Firoozbakhsh, Keikhosrow K</creatorcontrib><creatorcontrib>Garcia, Jose F</creatorcontrib><creatorcontrib>Miller, Richard A</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>Journal of orthopaedic trauma</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ferries, James S</au><au>DeCoster, Thomas A</au><au>Firoozbakhsh, Keikhosrow K</au><au>Garcia, Jose F</au><au>Miller, Richard A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Plain Radiographic Interpretation in Trimalleolar Ankle Fractures Poorly Assesses Posterior Fragment Size</atitle><jtitle>Journal of orthopaedic trauma</jtitle><addtitle>J Orthop Trauma</addtitle><date>1994-08</date><risdate>1994</risdate><volume>8</volume><issue>4</issue><spage>328</spage><epage>331</epage><pages>328-331</pages><issn>0890-5339</issn><eissn>1531-2291</eissn><abstract>Twenty-five patients with trimalleolar ankle fractures were evaluated using both conventional radiography and computed tomography (CT) to determine the size of the posterior fragment along with other fracture characteristics. Plain radiograph measurements indicated very poor inter- and intraexaminer reliability. When compared to the CT scan measurement, 54% of the plain radiographic readings revealed <25% error. Plain radiographic interpretations erred in most cases by overrating the size of the fragment, but major underestimations also occurred. The larger size fragments showed more error than the smaller ones. This information confirms our clinical suspicion that the lateral radiograph is unreliable in assessing the posterior fragment size</abstract><cop>Hagerstown, MD</cop><pub>Lippincott-Raven Publishers</pub><pmid>7965295</pmid><doi>10.1097/00005131-199408000-00009</doi><tpages>4</tpages></addata></record> |
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| language | eng |
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| subjects | Ankle Injuries - diagnostic imaging Ankle Injuries - pathology Biological and medical sciences Fibula - injuries Fractures, Comminuted - diagnostic imaging Fractures, Comminuted - pathology Humans Injuries of the limb. Injuries of the spine Medical sciences Observer Variation Prognosis Reproducibility of Results Tibial Fractures - diagnostic imaging Tibial Fractures - pathology Tomography, X-Ray Computed Traumas. Diseases due to physical agents |
| title | Plain Radiographic Interpretation in Trimalleolar Ankle Fractures Poorly Assesses Posterior Fragment Size |
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