Publications by authors named "R H Daffner"
Tibial eminence avulsion fractures are not infrequent in the pediatric population; however, they are rare in the adult population. These injuries typically occur in skeletally immature patients between the ages of 8 and 14 years. We report the unique clinical history, imaging findings, and operative results of a 48-year-old female who presented with severe knee pain.
View Article and Find Full Text PDFObjective: The purpose of this article is to share the views of an experienced expert witness in medical malpractice cases on the use of CT scout images.
Conclusion: The medical literature has resurrected issues regarding viewing of CT scout images. Scout images are an integral part of any CT examination and should be carefully reviewed for findings that may or may not be included in the FOV of the study.
Computed tomography (CT)-guided iliosacral screw placement for posttraumatic instability of that joint is a safe procedure that may be performed in a radiology department. CT guidance allows more accurate screw placement than traditional fluoroscopic imaging in the operating room. This article describes the technique for placing cannulated surgical screws percutaneously across the iliosacral joint in patients with unstable pelvic fractures using CT for guidance.
View Article and Find Full Text PDFArticle Synopsis
- The study examines how to determine if patients with cervical spine trauma are clear of serious injury, highlighting that a clinical exam suffices for neurologically intact patients, but imaging is necessary for those in pain or with altered mental status.
- It analyzed data from 1,004 trauma patients between 2004 and 2011 who underwent both MDCT and MRI, identifying reasons for MRI scans, which mainly included neck pain and altered mental status.
- Findings revealed that while many MRI scans showed normal results, 125 patients had ligamentous injuries, and a high percentage were documented as 'cleared' through various means, suggesting the need for radiological evaluation even when initial scans seem clear.
Rationale And Objectives: Postgraduate year (PGY)-1 residents are frequently required to order imaging studies and make preliminary interpretations on them. This study determines whether PGY-1 residents feel their radiology education in medical school sufficiently trained them for the clinical responsibilities of internship.
Materials And Methods: This multicenter, institutional review board-approved survey asked PGY-1 trainees three categories of questions: 1) extent of medical school training for ordering and interpreting imaging studies, 2) confidence levels in ordering appropriate imaging studies and making common/emergent diagnoses, and 3) rating the importance of radiologic interpretation by interns.