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Assessment of the measurement methods in midshaft clavicle fracture.
Lima, Guilherme Vieira; La Banca, Vitor; Murachovsky, Joel; Nascimento, Luis Gustavo Prata; Almeida, Luiz Henrique Oliveira; Ikemoto, Roberto Yukio.
Afiliação
  • Lima GV; Grupo de Ombro e Cotovelo da Faculdade de Medicina do ABC, Av. Lauro Gomes, 2000 - Vila Sacadura Cabral, Santo André, SP, 09060-870, Brazil. guigavl@yahoo.com.
  • La Banca V; , Rua Estela 121, Apto 141, Paraíso, São Paulo, SP, CEP: 04011-001, Brazil. guigavl@yahoo.com.
  • Murachovsky J; Grupo de Ombro e Cotovelo da Faculdade de Medicina do ABC, Av. Lauro Gomes, 2000 - Vila Sacadura Cabral, Santo André, SP, 09060-870, Brazil.
  • Nascimento LGP; Grupo de Ombro e Cotovelo da Faculdade de Medicina do ABC, Av. Lauro Gomes, 2000 - Vila Sacadura Cabral, Santo André, SP, 09060-870, Brazil.
  • Almeida LHO; Grupo de Ombro e Cotovelo da Faculdade de Medicina do ABC, Av. Lauro Gomes, 2000 - Vila Sacadura Cabral, Santo André, SP, 09060-870, Brazil.
  • Ikemoto RY; Grupo de Ombro e Cotovelo da Faculdade de Medicina do ABC, Av. Lauro Gomes, 2000 - Vila Sacadura Cabral, Santo André, SP, 09060-870, Brazil.
BMC Musculoskelet Disord ; 23(1): 992, 2022 Nov 18.
Article em En | MEDLINE | ID: mdl-36401258
BACKGROUND: Clavicle fractures account for approximately 5% of all fractures in adults and 75% of clavicle fractures occur in the midshaft. Shortening greater than two centimeters is an indicative of surgical treatment. Radiographic exams are often used to diagnose and evaluate clavicle fractures but computed tomography (CT) scan is currently considered the best method to assess these deformities and shortening. GOAL: 1- To investigate whether different methods of performing the radiographic exam interfere on the measurement of the fractured clavicle length. 2- Compare the clavicle length measurements obtained by the different radiographic exam methods with the CT scan measurements, used as a reference. MATERIALS AND METHODS: Twenty-five patients with acute (< 3 weeks) midshaft clavicle fracture were evaluated. Patients underwent six radiographic images: PA Thorax (standing and lying), AP Thorax (standing and lying) and at 10° cephalic tilt (standing and lying), and the computed tomography was used as reference. RESULTS: The mean length (cm) obtained were: 14,930 on CT scan, 14,860 on PA Thorax Standing, 14,955 on PA Thorax Lying, 14,896 on AP Thorax Standing, 14,960 AP Thorax Lying, 15,098 on 10° cephalic tilt Standing and 15,001 on 10° cephalic tilt Lying, (p > 0,05). CONCLUSION: 1- There is no significant statistical difference in the clavicle fracture length measurement among the variety of radiographic exam performances. 2- The method that comes closest to computed tomography results is the PA thorax incidence, with the patient in the lying position.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Clavícula / Fraturas Ósseas Limite: Adult / Humans Idioma: En Revista: BMC Musculoskelet Disord Assunto da revista: FISIOLOGIA / ORTOPEDIA Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Brasil País de publicação: Reino Unido
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Clavícula / Fraturas Ósseas Limite: Adult / Humans Idioma: En Revista: BMC Musculoskelet Disord Assunto da revista: FISIOLOGIA / ORTOPEDIA Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Brasil País de publicação: Reino Unido