The treatment of closed finger and metacarpal fractures

Kußmaul, Adrian Cavalcanti; Kuehlein, Titus; Langer, Martin F.; Ayache, Ali; Unglaub, Frank

doi:10.3238/arztebl.m2023.0226

Cited by 6 publications

(1 citation statement)

References 54 publications

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“…The combination of head and neck injuries with injuries of the upper extremity suggests that patients were trying to catch themselves before landing [ 6 ]. When comparing the data from our study with previous studies investigating injury patterns after e-cooter accidents, there is a wide range in terms of need for surgical care and hospitalization rate [ 3 , 13 , 17 , 21 , 22 ]. Compared to our results, Bascone et al describe in their study of 167 patients significant higher rates with a total of 117 fractures, (70%) of which 85 patients (50%) required surgical treatment and 105 patients (63%) were hospitalized [ 3 ].…”

Section: Discussionmentioning

confidence: 96%

E-scooter accidents—epidemiology and injury patterns: 3-year results from a level 1 trauma center in Germany

Linhart,

Jägerhuber,

Ehrnthaller

et al. 2024

Arch Orthop Trauma Surg

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Introduction Since the introduction of e-scooters in Germany in 2019, they are becoming more and more popular and associated injuries have increased significantly. The aim of this study was to assess the injury patterns after e-scooter accidents. Materials and Methods From May 2019 to October 2022, all consecutive patients who presented at our emergency department (ED) following e-scooter accidents were included in our study and retrospectively analyzed. Results A total of 271 patients were included in our study. The mean age was 33 years. 38% of the patients were female and 62% were male. Most common injuries were traumatic brain injuries in 38% of the patients together with fractures affecting the upper limb (17%). An operative treatment was necessary in 40 patients. Most of the patients presented at night and about 30% were under the influence of alcohol. Conclusions Our study shows one of the largest cohort of patients suffering e-scooter accidents in Europe. Compulsory helmet use, stricter alcohol controls and locking periods could contribute significantly to safety.

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Section: Discussionmentioning

confidence: 96%

E-scooter accidents—epidemiology and injury patterns: 3-year results from a level 1 trauma center in Germany

Linhart,

Jägerhuber,

Ehrnthaller

et al. 2024

Arch Orthop Trauma Surg

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Surface replacing arthroplasty of a post-traumatic stiff and deviated proximal interphalangeal joint in an adolescent

Brodbeck,

Marks,

Schindele

2024

Arch Orthop Trauma Surg

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Diagnostic power of ChatGPT 4 in distal radius fracture detection through wrist radiographs

Mert,

Stoerzer,

Brauer

et al. 2024

Arch Orthop Trauma Surg

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Distal radius fractures rank among the most prevalent fractures in humans, necessitating accurate radiological imaging and interpretation for optimal diagnosis and treatment. In addition to human radiologists, artificial intelligence systems are increasingly employed for radiological assessments. Since 2023, ChatGPT 4 has offered image analysis capabilities, which can also be used for the analysis of wrist radiographs. This study evaluates the diagnostic power of ChatGPT 4 in identifying distal radius fractures, comparing it with a board-certified radiologist, a hand surgery resident, a medical student, and the well-established AI Gleamer BoneView™. Results demonstrate ChatGPT 4’s good diagnostic accuracy (sensitivity 0.88, specificity 0.98, diagnostic power (AUC) 0.93), surpassing the medical student (sensitivity 0.98, specificity 0.72, diagnostic power (AUC) 0.85; p = 0.04) significantly. Nevertheless, the diagnostic power of ChatGPT 4 lags behind the hand surgery resident (sensitivity 0.99, specificity 0.98, diagnostic power (AUC) 0.985; p = 0.014) and Gleamer BoneView™(sensitivity 1.00, specificity 0.98, diagnostic power (AUC) 0.99; p = 0.006). This study highlights the utility and potential applications of artificial intelligence in modern medicine, emphasizing ChatGPT 4 as a valuable tool for enhancing diagnostic capabilities in the field of medical imaging.

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The treatment of closed finger and metacarpal fractures

Cited by 6 publications

References 54 publications

E-scooter accidents—epidemiology and injury patterns: 3-year results from a level 1 trauma center in Germany

E-scooter accidents—epidemiology and injury patterns: 3-year results from a level 1 trauma center in Germany

Surface replacing arthroplasty of a post-traumatic stiff and deviated proximal interphalangeal joint in an adolescent

Diagnostic power of ChatGPT 4 in distal radius fracture detection through wrist radiographs

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