Article
Emergency Medicine
Nancy S. Harper, Sonja Eddleman, Khushbu Shukla, Maria Veronica Narcise, Laura J. Padhye, Loralie J. Peterson, Michael A. Murati, Caroline L. S. George
Summary: This study aimed to determine the time required for radiographic skull fracture resolution in children younger than 24 months. Among the 26 children who met inclusion criteria, 42.3% demonstrated resolution of skull fractures on follow-up imaging, with fracture resolution ranging from 2 to 18 weeks, and some fractures resolving at 10 or more weeks after injury.
PEDIATRIC EMERGENCY CARE
(2021)
Article
Pediatrics
Andy Tsai, Jeannette M. Perez-Rossello, Kirsten Ecklund, Michele M. Walters, Paul K. Kleinman
Summary: This study aimed to determine the accuracy of radiologists in dating birth-related clavicle fractures and compare their performance to that achieved by a computer algorithm. The results showed that three experienced pediatric radiologists had moderate to good intra- and inter-reader agreements in dating clavicle fractures. Compared to the radiologists, the deep-learning (DL) model had a lower mean absolute error and showed better correlation with the ground truth.
PEDIATRIC RADIOLOGY
(2023)
Article
Pediatrics
Marie-Louise H. J. Loos, Wies M. Allema, Roel Bakx, Reinoud D. Stoel, Rick R. van Rijn, Wouter A. Karst
Summary: This study shows that the interpretation of medical results by healthcare professionals can be influenced by contextual information irrelevant to the decision as to whether abuse might have occurred. Women, emergency department, and pediatric doctors were more likely to decide that non-accidental trauma was the cause, while pediatric radiologists were least likely to decide this outcome. Healthcare professionals should recognize and manage contextual influences to prevent bias in decision-making.
EUROPEAN JOURNAL OF PEDIATRICS
(2021)
Article
Pediatrics
Andy Tsai, P. Ellen Grant, Simon K. Warfield, Yangming Ou, Paul K. Kleinman
Summary: This study developed a deep learning algorithm that accurately dates infant birth-related clavicle fractures. The model achieved good accuracy with an average error of within 7 days when evaluated on a database of 416 radiographs.
PEDIATRIC RADIOLOGY
(2022)
Review
Radiology, Nuclear Medicine & Medical Imaging
Nasser M. Alzahrani, Annmarie Jeanes, Michael Paddock, Farag Shuweihdi, Amaka C. Offiah
Summary: Chest CT shows higher sensitivity and specificity in detecting rib fractures in children with suspected physical abuse compared to initial skeletal survey chest radiographs.
EUROPEAN RADIOLOGY
(2021)
Article
Medicine, Legal
Alessia Viero, Zuzana Obertova, Annalisa Cappella, Carmelo Messina, Luca Maria Sconfienza, Francesco Sardanelli, Stefania Tritella, Massimo Montisci, Dario Gregori, Franco Tagliaro, Cristina Cattaneo
Summary: This retrospective observational study aimed to describe the temporal aspect of pre-defined healing stages of tubular bone fractures in adults on radiographs and explore potential confounding variables. The study found that the posttraumatic time interval (PTTI) increased progressively with the pre-defined healing stages, but confounding factors like patients' age, sex, and location of the fracture need to be considered for accurate estimation. Further research is needed to explore more potential confounding variables and refine outcomes for greater accuracy in dating of fracture healing in adults.
FORENSIC SCIENCE INTERNATIONAL
(2021)
Article
Orthopedics
Jian Lin, Wei-Jin Sun, Jian-Hai Chen, Jing-Ming Dong, Ding-Su Bao, Ling Yan, Wei-Dong Ni, Ming Xiang, Jian Ding, Ming Cai, Jia-Xiang Song, Ming-Gui Mao, Xiao-Ming Wu
Summary: This study compared the interobserver agreement of four classification systems for lateral clavicle fractures used by shoulder specialists and general trauma surgeons. The results showed that when 3D-CT scan images were provided, the interobserver agreement was higher in the specialist group using the OTA, Jager/Breitner, and Gongji classification systems, and in the generalist group using the Gongji classification system. Overall, 3D-CT scans provided better results in most classification systems, emphasizing the value of digitization and specialization in diagnosis and treatment.
ORTHOPAEDIC SURGERY
(2023)
Article
Critical Care Medicine
Suzanne F. M. Van Wijck, Christian Curran, Angela Sauaia, Esther M. M. Van Lieshout, SarahAnn S. Whitbeck, John G. Edwards, Fredric M. Pieracci, Mathieu M. E. Wijffels
Summary: This study validates the universal nomenclature for rib fractures proposed by the international Chest Wall Injury Society. The classification showed strong agreement for fracture location, moderate agreement for fracture type, but lower agreement for rib fracture displacement.
JOURNAL OF TRAUMA AND ACUTE CARE SURGERY
(2022)
Article
Geochemistry & Geophysics
P. Andricevic, E. L. Sellwood, T. Freiesleben, A. J. Hidy, M. Kook, M. C. Eppes, M. Jain
Summary: Rock fracturing is a common process that affects chemical degradation, sediment production, erosion, and infrastructure deterioration. However, our understanding of the long-term evolution of natural fractures is still limited. In this study, a new fracture exposure dating technique was developed and applied to a granite boulder in California, providing insights into the timing of fracture formation. This fracture dating method has the potential to enhance our interpretation and modeling of long-term landscape and atmospheric evolution.
EARTH AND PLANETARY SCIENCE LETTERS
(2023)
Article
Oncology
Hongsen Li, Jiaying Shen, Jiawei Shou, Weidong Han, Liu Gong, Yiming Xu, Peng Chen, Kaixin Wang, Shuangfeng Zhang, Chao Sun, Jie Zhang, Zhongfeng Niu, Hongming Pan, Wenli Cai, Yong Fang
Summary: This study investigated the reliability and reproducibility of a computer-aided contouring tool in tumor measurements for evaluating tumor response. Results showed that the tool reduced interobserver variability in measuring tumors and improved agreement in assessing tumor response on imaging.
FRONTIERS IN ONCOLOGY
(2022)
Article
Multidisciplinary Sciences
Lisanne van Gennip, Frederike J. C. Haverkamp, Ozcan Sir, Edward C. T. H. Tan
Summary: This study aimed to evaluate the most commonly used classifications for acute wounds in the Netherlands and assess the interobserver variability of the Gustilo Anderson wound classification (GAWC) and Red Cross wound classification (RCWC) in acute wounds. The study found that both classifications had moderate interobserver variability and were helpful for acute wound assessment, although their user-friendliness was moderate. It is recommended to apply the GAWC to acute wounds with fractures and the RCWC to major traumatic injuries.
SCIENTIFIC REPORTS
(2022)
Article
Radiology, Nuclear Medicine & Medical Imaging
Andy Tsai, Jeannette Perez-Rossello, Susan A. Connolly, Kosuke Kawai, Paul K. Kleinman
Summary: The primary pattern of CCJ rib fractures is commonly bucket-handle pattern, with secondary patterns being growth disturbance and sclerosis. Most fractures exhibit a primary pattern on initial diagnosis, but the visibility decreases significantly on follow-up approximately two weeks later, while the secondary patterns remain relatively stable in visibility during initial and follow-up examinations.
AMERICAN JOURNAL OF ROENTGENOLOGY
(2021)
Article
Medicine, Legal
Katharina Feld, Tim Ricken, Dustin Feld, Janine Helmus, Maria Hahnemann, Sebastian Schenkl, Holger Muggenthaler, Heidi Pfeiffer, Sibylle Banaschak, Bernd Karger, Daniel Wittschieber
Summary: This study retrospectively investigated 72 cases of children diagnosed with SBS and found that SBS is often accompanied by other forms of physical abuse, highlighting the importance of complete skeletal surveys in cases of suspected child abuse.
INTERNATIONAL JOURNAL OF LEGAL MEDICINE
(2022)
Article
Medicine, General & Internal
Chul-Ho Kim, Dong Hwan Kim, Han-Vit Kang, Won Jun Kim, Minkyu Shin, Ji Wan Kim
Summary: Percutaneous intramedullary nailing is an effective technique for metacarpal fractures, but the fracture site and number of K-wires used can affect the time to achieve bone union.
Article
Emergency Medicine
Stephanie Y. Chen, Leland Gao, Karen Kay Imagawa, Eric R. Roseman, Cathy E. Shin, Eugene S. Kim, Ryan G. Spurrier
Summary: Head trauma is the leading cause of child abuse-related deaths, and multiple incidents of abuse lead to more severe outcomes. Isolated skull fractures (ISF) are typically treated conservatively in the emergency department. This study aimed to examine the screening practices for physical abuse in children with ISF in a children's hospital ED.
PEDIATRIC EMERGENCY CARE
(2023)