Jos J. Mellema

Hand and Upper Extremity Service, Department of Orthopedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA, Yawkey Center, USA

[ 1 ] - Interobserver Variability of Radiographic Assessment using a Mobile Messaging Application as a Teleconsultation Tool

Background: To examine whether interobserver reliability, decision-making, and confidence in decision-making in thetreatment of distal radius fractures changes if radiographs are viewed on a messenger application on a mobile phonecompared to a standard DICOM viewer.Methods: Radiographs of distal radius fractures were presented to surgeons on either a smart phone using a mobilemessenger applicat...

[ 2 ] - Axillary Artery Injury Associated with Proximal Humerus Fracture: A Report of 6 Cases

 Proximal humerus fractures are common, but associated injury of the axillary artery is uncommon. The majority of published blunt traumatic axillary artery injuries are associated with anterior glenohumeral dislocation; a few are associated with isolated proximal humerus fractures or fracture-dislocation. Experience within our institution demonstrates that axillary artery injury is often unreco...

[ 3 ] - Proximity of Vital Structures to the Clavicle: Comparison of Fractured and Non-fractured Side

  Background: Previous anatomic and radiological studies have described the relationship of the clavicle to major neurovascular structures in healthy subjects. We were curious about this relationship in patients with a clavicle fracture and if it is different from non-fractured clavicles.   Methods: We retrospectively identified all patients with a clavicle fracture between July 2001 and Octobe...