Unsicherheit bei der radiologischen Achsbestimmung proximaler Humerusfrakturen

Abstract

Our results show that rotation and tilt of the proximal humerus cannot be estimated in shoulder X-rays and therefore a reliable measurement of the deformity of proximal humerus fractures is extremely unsafe. This problem is relevant for clinical practice because of the high likeliness of unaccurate projections in shoulder X-ray imaging after trauma. Especially for the growing bone the problem is evident, so that new ways of determining the deformity are mandatory.

Fracture Ultrasound of the Extremities

“…It allows better measurement of the axis deviation in the case of fractures than X-ray imaging (▶ Fig. 6) [35][36][37]. Since the decision to follow a conservative or surgical treatment approach depends largely on the axis deviation, preference should be given to ultrasound over X-ray diagnosis in this field [35], thus contributing to improved treatment.…”

“…Die Messung der Achsabweichung bei Frakturen ist besser als im Röntgenbild durchführbar (▶ Abb. 5) [35][36][37]. Da die Therapieentscheidung zum konservativen oder operativen Vorgehen maßgeblich von der Achsabweichung abhängt, ist die Sonografie der Röntgendiagnostik in diesem Bereich überlegen [35] und trägt zu einer verbesserten Therapie bei.…”