Diagnostic imaging concordance study : are traction radiographs necessary in a hip fracture?
Q2
- Autores:
-
García-Serrano, María Camila
García Guerrero, Luisa Fernanda
Gómez Gelvez, Amparo
Pinzón Rendón, Andrés Alberto
- Tipo de recurso:
- Article of journal
- Fecha de publicación:
- 2020
- Institución:
- Pontificia Universidad Javeriana
- Repositorio:
- Repositorio Universidad Javeriana
- Idioma:
- eng
- OAI Identifier:
- oai:repository.javeriana.edu.co:10554/62792
- Acceso en línea:
- https://www.sciencedirect.com/science/article/pii/S0020138320309098?via%3Dihub
http://hdl.handle.net/10554/62792
https://doi.org/10.1016/j.injury.2020.10.089
- Palabra clave:
- Hip fractures
Education
Diagnostic images
Concordance study
Traction radiograph
- Rights
- License
- Atribución-NoComercial 4.0 Internacional
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| dc.title.spa.fl_str_mv |
Diagnostic imaging concordance study : are traction radiographs necessary in a hip fracture? |
| title |
Diagnostic imaging concordance study : are traction radiographs necessary in a hip fracture? |
| spellingShingle |
Diagnostic imaging concordance study : are traction radiographs necessary in a hip fracture? Hip fractures Education Diagnostic images Concordance study Traction radiograph |
| title_short |
Diagnostic imaging concordance study : are traction radiographs necessary in a hip fracture? |
| title_full |
Diagnostic imaging concordance study : are traction radiographs necessary in a hip fracture? |
| title_fullStr |
Diagnostic imaging concordance study : are traction radiographs necessary in a hip fracture? |
| title_full_unstemmed |
Diagnostic imaging concordance study : are traction radiographs necessary in a hip fracture? |
| title_sort |
Diagnostic imaging concordance study : are traction radiographs necessary in a hip fracture? |
| dc.creator.fl_str_mv |
García-Serrano, María Camila García Guerrero, Luisa Fernanda Gómez Gelvez, Amparo Pinzón Rendón, Andrés Alberto |
| dc.contributor.author.none.fl_str_mv |
García-Serrano, María Camila García Guerrero, Luisa Fernanda Gómez Gelvez, Amparo Pinzón Rendón, Andrés Alberto |
| dc.contributor.corporatename.spa.fl_str_mv |
Pontificia Universidad Javeriana. Facultad de Medicina. Departamento de Ortopedia y Traumatología |
| dc.contributor.javerianateacher.none.fl_str_mv |
Pinzón Rendón, Andrés Alberto |
| dc.subject.keyword.spa.fl_str_mv |
Hip fractures Education Diagnostic images Concordance study Traction radiograph |
| topic |
Hip fractures Education Diagnostic images Concordance study Traction radiograph |
| description |
Q2 |
| publishDate |
2020 |
| dc.date.created.none.fl_str_mv |
2020-10-25 |
| dc.date.accessioned.none.fl_str_mv |
2023-01-11T20:04:06Z |
| dc.date.available.none.fl_str_mv |
2023-01-11T20:04:06Z |
| dc.type.local.spa.fl_str_mv |
Artículo de revista |
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http://purl.org/coar/resource_type/c_6501 |
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http://purl.org/coar/resource_type/c_6501 |
| dc.identifier.spa.fl_str_mv |
https://www.sciencedirect.com/science/article/pii/S0020138320309098?via%3Dihub |
| dc.identifier.issn.spa.fl_str_mv |
0020-1383 / 1879-0267 (Electrónico) |
| dc.identifier.uri.none.fl_str_mv |
http://hdl.handle.net/10554/62792 |
| dc.identifier.doi.spa.fl_str_mv |
https://doi.org/10.1016/j.injury.2020.10.089 |
| dc.identifier.instname.spa.fl_str_mv |
instname:Pontificia Universidad Javeriana |
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reponame:Repositorio Institucional - Pontificia Universidad Javeriana |
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repourl:https://repository.javeriana.edu.co |
| url |
https://www.sciencedirect.com/science/article/pii/S0020138320309098?via%3Dihub http://hdl.handle.net/10554/62792 https://doi.org/10.1016/j.injury.2020.10.089 |
| identifier_str_mv |
0020-1383 / 1879-0267 (Electrónico) instname:Pontificia Universidad Javeriana reponame:Repositorio Institucional - Pontificia Universidad Javeriana repourl:https://repository.javeriana.edu.co |
| dc.language.iso.spa.fl_str_mv |
eng |
| language |
eng |
| dc.relation.citationstartpage.spa.fl_str_mv |
1445 |
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1449 |
| dc.relation.ispartofjournal.spa.fl_str_mv |
Injury |
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52 |
| dc.relation.citationissue.spa.fl_str_mv |
6 |
| dc.rights.licence.*.fl_str_mv |
Atribución-NoComercial 4.0 Internacional |
| dc.rights.uri.*.fl_str_mv |
http://creativecommons.org/licenses/by-nc/4.0/ |
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http://purl.org/coar/access_right/c_abf2 |
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Atribución-NoComercial 4.0 Internacional http://creativecommons.org/licenses/by-nc/4.0/ http://purl.org/coar/access_right/c_abf2 |
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PDF |
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application/pdf |
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2017 |
| institution |
Pontificia Universidad Javeriana |
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Atribución-NoComercial 4.0 Internacionalhttp://creativecommons.org/licenses/by-nc/4.0/http://purl.org/coar/access_right/c_abf2García-Serrano, María CamilaGarcía Guerrero, Luisa FernandaGómez Gelvez, AmparoPinzón Rendón, Andrés AlbertoPontificia Universidad Javeriana. Facultad de Medicina. Departamento de Ortopedia y TraumatologíaPinzón Rendón, Andrés Alberto20172023-01-11T20:04:06Z2023-01-11T20:04:06Z2020-10-25https://www.sciencedirect.com/science/article/pii/S0020138320309098?via%3Dihub0020-1383 / 1879-0267 (Electrónico)http://hdl.handle.net/10554/62792https://doi.org/10.1016/j.injury.2020.10.089instname:Pontificia Universidad Javerianareponame:Repositorio Institucional - Pontificia Universidad Javerianarepourl:https://repository.javeriana.edu.coPDFapplication/pdfengDiagnostic imaging concordance study : are traction radiographs necessary in a hip fracture?Artículo de revistahttp://purl.org/coar/resource_type/c_6501Q2Q1Pacientes con fractura de caderaIntroduction: Hip fractures are a pathology that have emerged as a major subject over the years, due to increased prevalence and the multiple surgical treatments involved. The characterization and classification of the lesion is essential for proper surgical planning, with anteroposterior (AP), lateral and traction radiograph of the hip, paramount for decision-making. Patients and methods: This is a retrospective concordance study of 64 patients with hip fracture who consulted the hospital between January and July 2017. Four radiographs were taken of each: AP, AP with traction, lateral and lateral with traction. This set of images was evaluated by 9 observers, with different levels of experience, to answer questions regarding the classification, emphasize in potential instability and requirement of other images. A statistical analysis of concordance between and within observers was performed using Cohen's kappa coefficient. Results: Of the 64 patients, 70.6% were women; the average age was 69.5 years. 82.8% presented a secondary fracture from falling from their own height. As the observer's experience increases, the need for traction radiograph decreases; interobserver kappa goes from 0.98 in experts to 0.01 in students. Traction radiograph is important in the diagnosis of potentially unstable fractures. Of the 1,503 radiographs with traction, 636 (42.38%) were classified as potentially unstable. And of the 708 without traction, 560 (79.1%) were classified as potentially unstable. Conclusions: Traction hip radiograph continues to be a useful tool in training environments to adequately classify an intertrochanteric fracture, considering it is a low-cost, minimal morbidity intervention, and is easily accessible. In similar studies, we found similar findings regarding the usefulness of traction to perform an adequate classification in people in training or in young orthopedists. It also influences to determine the potential instability, and this would modify the choice of the implant.https://orcid.org/0000-0002-7609-3675https://orcid.org/0000-0002-4748-2356https://orcid.org/0000-0002-6101-5869Revista Internacional - IndexadaA1NoHip fracturesEducationDiagnostic imagesConcordance studyTraction radiograph14451449Injury526ORIGINALDiagnostic imaging concordance study Are traction radiographs necessary in a hip fracture.pdfDiagnostic imaging concordance study Are traction radiographs necessary in a hip fracture.pdfArtículoapplication/pdf619727http://repository.javeriana.edu.co/bitstream/10554/62792/1/Diagnostic%20imaging%20concordance%20study%20Are%20traction%20radiographs%20necessary%20in%20a%20hip%20fracture.pdfcdca75b6b819c4bbc69df9d4cfb3f4faMD51open accessLICENSElicense.txtlicense.txttext/plain; charset=utf-82603http://repository.javeriana.edu.co/bitstream/10554/62792/2/license.txt2070d280cc89439d983d9eee1b17df53MD52open accessTHUMBNAILDiagnostic imaging concordance study Are traction radiographs necessary in a hip fracture.pdf.jpgDiagnostic imaging concordance study Are traction radiographs necessary in a hip fracture.pdf.jpgIM Thumbnailimage/jpeg9928http://repository.javeriana.edu.co/bitstream/10554/62792/3/Diagnostic%20imaging%20concordance%20study%20Are%20traction%20radiographs%20necessary%20in%20a%20hip%20fracture.pdf.jpg5ba3ec6aae21bd533f0e24f4f59e4585MD53open access10554/62792oai:repository.javeriana.edu.co:10554/627922023-01-14 03:04:03.04Repositorio Institucional - Pontificia Universidad Javerianarepositorio@javeriana.edu.coTElDRU5DSUEgWSBBVVRPUklaQUNJw5NOIERFIExPUyBBVVRPUkVTIFBBUkEgUFVCTElDQVIgWSBQRVJNSVRJUiBMQSBDT05TVUxUQSBZIFVTTy4KClBhcnRlIDEuIFTDqXJtaW5vcyBkZSBsYSBsaWNlbmNpYSBnZW5lcmFsIHBhcmEgcHVibGljYWNpw7NuIGRlIG9icmFzIGVuIGVsIHJlcG9zaXRvcmlvIGluc3RpdHVjaW9uYWwKQ29tbyB0aXR1bGFyIChlcykgZGVsIGRlcmVjaG8gZGUgYXV0b3IsIGNvbmZpZXJvIChlcmltb3MpIGEgbGEgUG9udGlmaWNpYSBVbml2ZXJzaWRhZCBKYXZlcmlhbmEgdW5hIGxpY2VuY2lhIG5vIGV4Y2x1c2l2YSwgbGltaXRhZGEgeSBncmF0dWl0YSBzb2JyZSBsYSBvYnJhIHF1ZSBzZSBpbnRlZ3JhcsOhIGVuIGVsIFJlcG9zaXRvcmlvIEluc3RpdHVjaW9uYWwsIHF1ZSBzZSBhanVzdGEgYSBsYXMgc2lndWllbnRlcyBjYXJhY3RlcsOtc3RpY2FzOgphKSAgICAgIEVzdGFyw6EgdmlnZW50ZSBhIHBhcnRpciBkZSBsYSBmZWNoYSBkZSBpbmNsdXNpw7NuIGVuIGVsIHJlcG9zaXRvcmlvLCBwb3IgdW4gcGxhem8gZGUgNSBhw7FvcywgcXVlIHNlcsOhbiBwcm9ycm9nYWJsZXMgaW5kZWZpbmlkYW1lbnRlIHBvciBlbCB0aWVtcG8gcXVlIGR1cmUgZWwgZGVyZWNobyBwYXRyaW1vbmlhbCBkZWwgYXV0b3IuIEVsIGF1dG9yIHBvZHLDoSBkYXIgcG9yIHRlcm1pbmFkYSBsYSBsaWNlbmNpYSBzb2xpY2l0w6FuZG9sbyBhIGxhIFVuaXZlcnNpZGFkIHBvciBlc2NyaXRvLgpiKSAgICAgIEF1dG9yaXphIGEgbGEgUG9udGlmaWNpYSBVbml2ZXJzaWRhZCBKYXZlcmlhbmEgYSBwdWJsaWNhciBsYSBvYnJhIGVuIGRpZ2l0YWwsIGNvbm9jaWVuZG8gcXVlLCBkYWRvIHF1ZSBzZSBwdWJsaWNhIGVuIEludGVybmV0LCBwb3IgZXN0ZSBoZWNobyBjaXJjdWxhIGNvbiB1biBhbGNhbmNlIG11bmRpYWwuCmMpICAgICAgTG9zIGF1dG9yZXMgYWNlcHRhbiBxdWUgbGEgYXV0b3JpemFjacOzbiBzZSBoYWNlIGEgdMOtdHVsbyBncmF0dWl0bywgcG9yIGxvIHRhbnRvIHJlbnVuY2lhbiBhIHJlY2liaXIgYmVuZWZpY2lvIGFsZ3VubyBwb3IgbGEgcHVibGljYWNpw7NuLCBkaXN0cmlidWNpw7NuLCBjb211bmljYWNpw7NuIHDDumJsaWNhIHkgY3VhbHF1aWVyIG90cm8gdXNvIHF1ZSBzZSBoYWdhIGVuIGxvcyB0w6lybWlub3MgZGUgbGEgcHJlc2VudGUgbGljZW5jaWEgeSBkZSBsYSBsaWNlbmNpYSBkZSB1c28gY29uIHF1ZSBzZSBwdWJsaWNhLgpkKSAgICAgIExvcyBhdXRvcmVzIG1hbmlmaWVzdGFuIHF1ZSBzZSB0cmF0YSBkZSB1bmEgb2JyYSBvcmlnaW5hbCBzb2JyZSBsYSBxdWUgdGllbmVuIGxvcyBkZXJlY2hvcyBxdWUgYXV0b3JpemFuIHkgcXVlIHNvbiBlbGxvcyBxdWllbmVzIGFzdW1lbiB0b3RhbCByZXNwb25zYWJpbGlkYWQgcG9yIGVsIGNvbnRlbmlkbyBkZSBzdSBvYnJhIGFudGUgbGEgUG9udGlmaWNpYSBVbml2ZXJzaWRhZCBKYXZlcmlhbmEgeSBhbnRlIHRlcmNlcm9zLiBFbiB0b2RvIGNhc28gbGEgUG9udGlmaWNpYSBVbml2ZXJzaWRhZCBKYXZlcmlhbmEgc2UgY29tcHJvbWV0ZSBhIGluZGljYXIgc2llbXByZSBsYSBhdXRvcsOtYSBpbmNsdXllbmRvIGVsIG5vbWJyZSBkZWwgYXV0b3IgeSBsYSBmZWNoYSBkZSBwdWJsaWNhY2nDs24uCmUpICAgICAgQXV0b3Jpem8gKGFtb3MpIGEgbGEgVW5pdmVyc2lkYWQgcGFyYSBpbmNsdWlyIGxhIG9icmEgZW4gbG9zIMOtbmRpY2VzIHkgYnVzY2Fkb3JlcyBxdWUgZXN0aW1lbiBuZWNlc2FyaW9zIHBhcmEgcHJvbW92ZXIgc3UgZGlmdXNpw7NuLgpmKSAgICAgIEFjZXB0byAoYW1vcykgcXVlIGxhIFBvbnRpZmljaWEgVW5pdmVyc2lkYWQgSmF2ZXJpYW5hIHB1ZWRhIGNvbnZlcnRpciBlbCBkb2N1bWVudG8gYSBjdWFscXVpZXIgbWVkaW8gbyBmb3JtYXRvIHBhcmEgcHJvcMOzc2l0b3MgZGUgcHJlc2VydmFjacOzbiBkaWdpdGFsLgpnKSAgICAgIEF1dG9yaXpvIChhbW9zKSBxdWUgbGEgb2JyYSBzZWEgcHVlc3RhIGEgZGlzcG9zaWNpw7NuIGRlbCBww7pibGljbyBlbiBsb3MgdMOpcm1pbm9zIGF1dG9yaXphZG9zIGVuIGxvcyBsaXRlcmFsZXMgYW50ZXJpb3JlcyBiYWpvIGxvcyBsw61taXRlcyBkZWZpbmlkb3MgcG9yIGxhIHVuaXZlcnNpZGFkIGVuIGxhcyDigJxDb25kaWNpb25lcyBkZSB1c28gZGUgZXN0cmljdG8gY3VtcGxpbWllbnRv4oCdIGRlIGxvcyByZWN1cnNvcyBwdWJsaWNhZG9zIGVuIFJlcG9zaXRvcmlvIEluc3RpdHVjaW9uYWwgUFVKICwgY3V5byB0ZXh0byBjb21wbGV0byBzZSBwdWVkZSBjb25zdWx0YXIgZW4gaHR0cDovL3JlcG9zaXRvcnkuamF2ZXJpYW5hLmVkdS5jby8KClNJIEVMIERPQ1VNRU5UTyBTRSBCQVNBIEVOIFVOIFRSQUJBSk8gUVVFIEhBIFNJRE8gUEFUUk9DSU5BRE8gTyBBUE9ZQURPIFBPUiBVTkEgQUdFTkNJQSBPIFVOQSBPUkdBTklaQUNJw5NOLCBDT04gRVhDRVBDScOTTiBERSBMQSBQT05USUZJQ0lBIFVOSVZFUlNJREFEIEpBVkVSSUFOQSwgRUwgKExPUykgQVVUT1IoRVMpIEdBUkFOVElaQShNT1MpIFFVRSBTRSBIQSBDVU1QTElETyBDT04gTE9TIERFUkVDSE9TIFkgT0JMSUdBQ0lPTkVTIFJFUVVFUklET1MgUE9SIEVMIFJFU1BFQ1RJVk8gQ09OVFJBVE8gTyBBQ1VFUkRPLgo= |