Diagnostic and Therapeutic Foot and Ankle Injections.

For patients with disabling foot or ankle pain, medical or surgical treatment decisions can be difficult to make when multiple joints show changes of osteoarthritis or if the patient's pain clinically is related to a joint or tendon that is normal by other imaging studies. For these patients, injection of anesthetic, steroid, or both, into joints or tendon sheaths of the foot and ankle provides important diagnostic information and therapeutic relief. Diagnostic injections may show that the joints noted by other imaging studies have osteoarthritis that are not responsible for a patient's pain or that a normal joint is responsible.

Gaze dwell times on acute trauma injuries missed because of satisfaction of search.

Rationale And Objectives: The authors performed this study to determine whether satisfaction of search (SOS) errors in patients with multiple traumas are caused by faulty visual scanning, faulty recognition, or faulty decision making.

Materials And Methods: A series of radiographs were obtained in patients with multiple traumas. Radiologists interpreted each series under two experimental conditions: when the first radiograph in the series included a fracture, and when it did not.

Effect of knowledge of chronologic age on the variability of pediatric bone age determined using the Greulich and Pyle standards.

Objective: The purpose of this study was to investigate the impact of knowing chronologic age on the variability of pediatric bone age determination using the method of Greulich and Pyle.

Materials And Methods: Radiographs of the left hand of 107 patients were interpreted by four radiologists on two separate occasions, once with and once without knowledge of the patient's chronologic age at time of interpretation. Twenty-five radiographs were randomly selected and reevaluated twice by each radiologist.