Radiographic Evaluation of Distal Radius Fracture Healing by Time: Orthopedist versus Qualitative Assessment of Image Processing
Distal radius fractures are among the most prevalent long-bone fractures in the body. Fracture healing assessment is based on clinical evaluation and radiological examinations. A lack of consensus exists regarding the radiographic criteria for fracture union. Our work examined the commonly used crit...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-09-01
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| Series: | Trauma Care |
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| Online Access: | https://www.mdpi.com/2673-866X/2/3/40 |
| _version_ | 1827656178194186240 |
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| author | Maria Oulianski Dana Avraham Omri Lubovsky |
| author_facet | Maria Oulianski Dana Avraham Omri Lubovsky |
| author_sort | Maria Oulianski |
| collection | DOAJ |
| description | Distal radius fractures are among the most prevalent long-bone fractures in the body. Fracture healing assessment is based on clinical evaluation and radiological examinations. A lack of consensus exists regarding the radiographic criteria for fracture union. Our work examined the commonly used criteria for the assessment of fracture healing. Thirty-two patients, conservatively treated for distal radius fracture, participated in a prospective study. Enrolled patients followed protocol for 26 weeks. Four orthopedic surgeons with similar ranks were asked to evaluate three parameters of radiographic measurements for each set of radiographs, including callus formation, the presence of a fracture line, and bridging of fracture sites or sites of fracture edges in 70 radiographs. Ten patients were eligible for the study. The degree of agreement among surgeons was “good” (Cronbach’s alpha): callus formation—0.8, bridging of fracture sites—0.775, blurring of fracture line gap—0.795. A timeline based on the specific week and grading system was made. Radiographic detection of callus formation was seen after the second film, between 6 and 9 weeks, and an agreement among surgeons was achieved for more than half of the patients for the blurring of the fracture gap. The radiographic healing progression of the distal radius can be detected after 6 and 9 weeks in all three parameters with good agreement between different surgeons. A timeline graph such as the one that was made in this model can be used for the follow-up of patients’ fracture healing or early detection of non-union. |
| first_indexed | 2024-03-09T22:18:58Z |
| format | Article |
| id | doaj.art-272307f5d4a74a3a957228bc3b7d8ddf |
| institution | Directory Open Access Journal |
| issn | 2673-866X |
| language | English |
| last_indexed | 2024-03-09T22:18:58Z |
| publishDate | 2022-09-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Trauma Care |
| spelling | doaj.art-272307f5d4a74a3a957228bc3b7d8ddf2023-11-23T19:17:35ZengMDPI AGTrauma Care2673-866X2022-09-012348148610.3390/traumacare2030040Radiographic Evaluation of Distal Radius Fracture Healing by Time: Orthopedist versus Qualitative Assessment of Image ProcessingMaria Oulianski0Dana Avraham1Omri Lubovsky2Department of Orthopedic Surgery, Kaplan Medical Center, 1 Pasternak St., Rehovot 7661041, IsraelDepartment of Orthopedic Surgery, Kaplan Medical Center, 1 Pasternak St., Rehovot 7661041, IsraelDepartment of Orthopedic Surgery, Barzilai Medical Center, 2 Hahistadrut St., Ashkelon 7830604, IsraelDistal radius fractures are among the most prevalent long-bone fractures in the body. Fracture healing assessment is based on clinical evaluation and radiological examinations. A lack of consensus exists regarding the radiographic criteria for fracture union. Our work examined the commonly used criteria for the assessment of fracture healing. Thirty-two patients, conservatively treated for distal radius fracture, participated in a prospective study. Enrolled patients followed protocol for 26 weeks. Four orthopedic surgeons with similar ranks were asked to evaluate three parameters of radiographic measurements for each set of radiographs, including callus formation, the presence of a fracture line, and bridging of fracture sites or sites of fracture edges in 70 radiographs. Ten patients were eligible for the study. The degree of agreement among surgeons was “good” (Cronbach’s alpha): callus formation—0.8, bridging of fracture sites—0.775, blurring of fracture line gap—0.795. A timeline based on the specific week and grading system was made. Radiographic detection of callus formation was seen after the second film, between 6 and 9 weeks, and an agreement among surgeons was achieved for more than half of the patients for the blurring of the fracture gap. The radiographic healing progression of the distal radius can be detected after 6 and 9 weeks in all three parameters with good agreement between different surgeons. A timeline graph such as the one that was made in this model can be used for the follow-up of patients’ fracture healing or early detection of non-union.https://www.mdpi.com/2673-866X/2/3/40distal radiusfracture healingradiographsconservative fracture treatment |
| spellingShingle | Maria Oulianski Dana Avraham Omri Lubovsky Radiographic Evaluation of Distal Radius Fracture Healing by Time: Orthopedist versus Qualitative Assessment of Image Processing Trauma Care distal radius fracture healing radiographs conservative fracture treatment |
| title | Radiographic Evaluation of Distal Radius Fracture Healing by Time: Orthopedist versus Qualitative Assessment of Image Processing |
| title_full | Radiographic Evaluation of Distal Radius Fracture Healing by Time: Orthopedist versus Qualitative Assessment of Image Processing |
| title_fullStr | Radiographic Evaluation of Distal Radius Fracture Healing by Time: Orthopedist versus Qualitative Assessment of Image Processing |
| title_full_unstemmed | Radiographic Evaluation of Distal Radius Fracture Healing by Time: Orthopedist versus Qualitative Assessment of Image Processing |
| title_short | Radiographic Evaluation of Distal Radius Fracture Healing by Time: Orthopedist versus Qualitative Assessment of Image Processing |
| title_sort | radiographic evaluation of distal radius fracture healing by time orthopedist versus qualitative assessment of image processing |
| topic | distal radius fracture healing radiographs conservative fracture treatment |
| url | https://www.mdpi.com/2673-866X/2/3/40 |
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