Emergency radiology
-
Emergency radiology · Dec 2017
Subtle radiographic signs of hamate body fracture: a diagnosis not to miss in the emergency department.
Hamate fractures are estimated to represent 1.7% of all carpal fractures and can occur at the hamulus (hook) or hamate body depending on mechanism of injury. Fractures of the hamate body can be exceedingly difficult to identify on standard wrist and hand radiographs in the emergency department. If the diagnosis is missed in the emergency department, orthopedic referral is often delayed. ⋯ Injury mechanism and fracture classification schemes are portrayed to aid in the understanding of these injuries. Once radiographs raise suspicion for a hamate body fracture, further characterization with CT and orthopedic referral is paramount. Goals of orthopedic management include reestablishment of the fourth and fifth CMC articular surface, stabilization of the CMC joints, and appropriate treatment of concomitant soft tissue injury.
-
Sacral fractures are a common component of pelvic fracture patterns and are an increasingly diagnosed injury both due to increased utilization of CT in trauma evaluation as well as an increasing rate of sacral fragility fractures as a result of an increase in general population age. Innovations in minimally invasive surgical techniques have also resulted in an increasing number of sacral fractures undergoing surgical management. ⋯ This article reviews the sacral anatomy as well as discusses the role of imaging and imaging appearance of sacral fractures. Sacral fracture patterns are described along with both historic and newer classification systems for sacral fractures and current management of sacral fracture.
-
Emergency radiology · Dec 2017
Assessing the gap in female authorship in the journal Emergency Radiology: trends over a 20-year period.
To examine trends in female authorship in the journal Emergency Radiology from January 1994 to December 2014. ⋯ Over the last 20 years, there has been a statistically significant upward trend in female last position authors publishing in the journal Emergency Radiology.