{"id":"https://openalex.org/W4409901255","doi":"https://doi.org/10.1177/20503121251336301","title":"Dual-energy computed tomography may reduce delayed diagnosis of occult hip fractures: Experiences at a single center","display_name":"Dual-energy computed tomography may reduce delayed diagnosis of occult hip fractures: Experiences at a single center","publication_year":2025,"publication_date":"2025-04-27","ids":{"openalex":"https://openalex.org/W4409901255","doi":"https://doi.org/10.1177/20503121251336301","pmid":"https://pubmed.ncbi.nlm.nih.gov/40297794","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/12034994"},"language":"en","primary_location":{"id":"doi:10.1177/20503121251336301","doi":"https://doi.org/10.1177/20503121251336301","is_oa":true,"landing_page_url":"https://doi.org/10.1177/20503121251336301","pdf_url":null,"source":{"id":"https://openalex.org/S2764485085","display_name":"SAGE Open Medicine","issn_l":"2050-3121","issn":["2050-3121"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","norway-1","oarl","poland-20","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Sage Open Medicine","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1177/20503121251336301","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":null,"display_name":"Hirotaka Kawakami","orcid":"https://orcid.org/0009-0007-8692-8297","observed_orcids":["https://orcid.org/0009-0007-8692-8297"]},"institutions":[{"id":"https://openalex.org/I4405257854","display_name":"Sendai Medical Association","ror":"https://ror.org/05r7hdk89","country_code":"JP","type":"nonprofit","lineage":["https://openalex.org/I4405257854"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Hirotaka Kawakami","raw_affiliation_strings":["Department of Orthopedic Surgery, Sendai Medical Association Hospital, Satsumasendai-City, Kagoshima, Japan"],"raw_orcid":"https://orcid.org/0009-0007-8692-8297","affiliations":[{"raw_affiliation_string":"Department of Orthopedic Surgery, Sendai Medical Association Hospital, Satsumasendai-City, Kagoshima, Japan","institution_ids":["https://openalex.org/I4405257854"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5058220906","display_name":"Hiromi Sasaki","orcid":"https://orcid.org/0000-0002-6288-6340","observed_orcids":["https://orcid.org/0000-0002-6288-6340"]},"institutions":[{"id":"https://openalex.org/I107139324","display_name":"Kagoshima University","ror":"https://ror.org/03ss88z23","country_code":"JP","type":"education","lineage":["https://openalex.org/I107139324"]}],"countries":["JP"],"is_corresponding":true,"raw_author_name":"Hiromi Sasaki","raw_affiliation_strings":["Department of Orthopedic Surgery, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima-City, Kagoshima, Japan"],"raw_orcid":"https://orcid.org/0000-0002-6288-6340","affiliations":[{"raw_affiliation_string":"Department of Orthopedic Surgery, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima-City, Kagoshima, Japan","institution_ids":["https://openalex.org/I107139324"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5086736989","display_name":"Junichi Kamizono","orcid":"https://orcid.org/0009-0003-6476-486X","observed_orcids":["https://orcid.org/0009-0003-6476-486X"]},"institutions":[{"id":"https://openalex.org/I4405257854","display_name":"Sendai Medical Association","ror":"https://ror.org/05r7hdk89","country_code":"JP","type":"nonprofit","lineage":["https://openalex.org/I4405257854"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Junichi Kamizono","raw_affiliation_strings":["Department of Orthopedic Surgery, Sendai Medical Association Hospital, Satsumasendai-City, Kagoshima, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopedic Surgery, Sendai Medical Association Hospital, Satsumasendai-City, Kagoshima, Japan","institution_ids":["https://openalex.org/I4405257854"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5043226528","display_name":"Yuki Yasutake","orcid":"https://orcid.org/0000-0003-2463-8589","observed_orcids":["https://orcid.org/0000-0003-2463-8589"]},"institutions":[{"id":"https://openalex.org/I4405257854","display_name":"Sendai Medical Association","ror":"https://ror.org/05r7hdk89","country_code":"JP","type":"nonprofit","lineage":["https://openalex.org/I4405257854"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Yuki Yasutake","raw_affiliation_strings":["Department of Orthopedic Surgery, Sendai Medical Association Hospital, Satsumasendai-City, Kagoshima, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopedic Surgery, Sendai Medical Association Hospital, Satsumasendai-City, Kagoshima, Japan","institution_ids":["https://openalex.org/I4405257854"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5063705375","display_name":"Kana Yamada","orcid":"https://orcid.org/0000-0003-1328-6477","observed_orcids":["https://orcid.org/0000-0003-1328-6477"]},"institutions":[{"id":"https://openalex.org/I4405257854","display_name":"Sendai Medical Association","ror":"https://ror.org/05r7hdk89","country_code":"JP","type":"nonprofit","lineage":["https://openalex.org/I4405257854"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Kana Yamada","raw_affiliation_strings":["Department of Orthopedic Surgery, Sendai Medical Association Hospital, Satsumasendai-City, Kagoshima, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopedic Surgery, Sendai Medical Association Hospital, Satsumasendai-City, Kagoshima, Japan","institution_ids":["https://openalex.org/I4405257854"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5045093164","display_name":"\u5353 \u4f50\u4fdd","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4405257854","display_name":"Sendai Medical Association","ror":"https://ror.org/05r7hdk89","country_code":"JP","type":"nonprofit","lineage":["https://openalex.org/I4405257854"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Suguru Saho","raw_affiliation_strings":["Department of Orthopedic Surgery, Sendai Medical Association Hospital, Satsumasendai-City, Kagoshima, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopedic Surgery, Sendai Medical Association Hospital, Satsumasendai-City, Kagoshima, Japan","institution_ids":["https://openalex.org/I4405257854"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Takehiro Kawauchi","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4405257854","display_name":"Sendai Medical Association","ror":"https://ror.org/05r7hdk89","country_code":"JP","type":"nonprofit","lineage":["https://openalex.org/I4405257854"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Takehiro Kawauchi","raw_affiliation_strings":["Department of Orthopedic Surgery, Sendai Medical Association Hospital, Satsumasendai-City, Kagoshima, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopedic Surgery, Sendai Medical Association Hospital, Satsumasendai-City, Kagoshima, Japan","institution_ids":["https://openalex.org/I4405257854"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5102866332","display_name":"Noboru Taniguchi","orcid":"https://orcid.org/0000-0002-1391-144X","observed_orcids":["https://orcid.org/0000-0002-1391-144X"]},"institutions":[{"id":"https://openalex.org/I107139324","display_name":"Kagoshima University","ror":"https://ror.org/03ss88z23","country_code":"JP","type":"education","lineage":["https://openalex.org/I107139324"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Noboru Taniguchi","raw_affiliation_strings":["Department of Orthopedic Surgery, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima-City, Kagoshima, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopedic Surgery, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima-City, Kagoshima, Japan","institution_ids":["https://openalex.org/I107139324"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5058220906"],"corresponding_institution_ids":["https://openalex.org/I107139324"],"apc_list":{"value":2000,"currency":"USD","value_usd":2000},"apc_paid":{"value":2000,"currency":"USD","value_usd":2000},"fwci":2.0141,"has_fulltext":true,"cited_by_count":3,"citation_normalized_percentile":{"value":0.83990956,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":96,"max":97},"biblio":{"volume":"13","issue":null,"first_page":"20503121251336301","last_page":"20503121251336301"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11509","display_name":"Hip and Femur Fractures","score":0.4507000148296356,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11509","display_name":"Hip and Femur Fractures","score":0.4507000148296356,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10658","display_name":"Bone fractures and treatments","score":0.3513000011444092,"subfield":{"id":"https://openalex.org/subfields/2732","display_name":"Orthopedics and Sports Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10071","display_name":"Bone health and osteoporosis research","score":0.028200000524520874,"subfield":{"id":"https://openalex.org/subfields/2732","display_name":"Orthopedics and Sports Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/dual-energy-ct","display_name":"dual-energy CT","score":0.9819999933242798},{"id":"https://openalex.org/keywords/occult-hip-fracture","display_name":"occult hip fracture","score":0.9959999918937683},{"id":"https://openalex.org/keywords/femoral-trochanteric-fracture","display_name":"femoral trochanteric fracture","score":0.8999999761581421},{"id":"https://openalex.org/keywords/femoral-neck-fracture","display_name":"femoral neck fracture","score":1.0},{"id":"https://openalex.org/keywords/bone-marrow-edema","display_name":"bone marrow edema","score":0.8870000243186951},{"id":"https://openalex.org/keywords/bone-contusion","display_name":"bone contusion","score":0.7760000228881836},{"id":"https://openalex.org/keywords/diagnostic-accuracy","display_name":"diagnostic accuracy","score":0.7789999842643738},{"id":"https://openalex.org/keywords/delayed-diagnosis","display_name":"delayed diagnosis","score":0.7390000224113464},{"id":"https://openalex.org/keywords/magnetic-resonance-imaging-comparison","display_name":"magnetic resonance imaging comparison","score":0.6809999942779541},{"id":"https://openalex.org/keywords/interobserver-agreement","display_name":"interobserver agreement","score":0.6019999980926514}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9497289657592773},{"id":"https://openalex.org/C2775854910","wikidata":"https://www.wikidata.org/wiki/Q4844892","display_name":"Femoral neck","level":3,"score":0.6419435739517212},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.6417456269264221},{"id":"https://openalex.org/C68312169","wikidata":"https://www.wikidata.org/wiki/Q216685","display_name":"Orthopedic surgery","level":2,"score":0.6196688413619995},{"id":"https://openalex.org/C520017518","wikidata":"https://www.wikidata.org/wiki/Q178934","display_name":"Occult","level":3,"score":0.6083514094352722},{"id":"https://openalex.org/C143409427","wikidata":"https://www.wikidata.org/wiki/Q161238","display_name":"Magnetic resonance imaging","level":2,"score":0.5459673404693604},{"id":"https://openalex.org/C544519230","wikidata":"https://www.wikidata.org/wiki/Q32566","display_name":"Computed tomography","level":2,"score":0.4848231375217438},{"id":"https://openalex.org/C2778398297","wikidata":"https://www.wikidata.org/wiki/Q30673015","display_name":"Spiral computed tomography","level":3,"score":0.47526925802230835},{"id":"https://openalex.org/C163716698","wikidata":"https://www.wikidata.org/wiki/Q841267","display_name":"Tomography","level":2,"score":0.4554883539676666},{"id":"https://openalex.org/C2989005","wikidata":"https://www.wikidata.org/wiki/Q214963","display_name":"Nuclear medicine","level":1,"score":0.41494399309158325},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.2696855366230011},{"id":"https://openalex.org/C2776541429","wikidata":"https://www.wikidata.org/wiki/Q165328","display_name":"Osteoporosis","level":2,"score":0.15563735365867615},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.07649701833724976},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0},{"id":"https://openalex.org/C204787440","wikidata":"https://www.wikidata.org/wiki/Q188504","display_name":"Alternative medicine","level":2,"score":0.0}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.1177/20503121251336301","doi":"https://doi.org/10.1177/20503121251336301","is_oa":true,"landing_page_url":"https://doi.org/10.1177/20503121251336301","pdf_url":null,"source":{"id":"https://openalex.org/S2764485085","display_name":"SAGE Open Medicine","issn_l":"2050-3121","issn":["2050-3121"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","norway-1","oarl","poland-20","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Sage Open Medicine","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:12034994","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12034994/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12034994/pdf/","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"SAGE Open Med","raw_type":"Text"},{"id":"pmid:40297794","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/40297794","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"SAGE open medicine","raw_type":"Journal Article"},{"id":"pmh:oai:doaj.org/article:6640cd27419945b0b8931cd181b6b3b4","doi":null,"is_oa":true,"landing_page_url":"https://doaj.org/article/6640cd27419945b0b8931cd181b6b3b4","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"SAGE Open Medicine, Vol 13 (2025)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1177/20503121251336301","doi":"https://doi.org/10.1177/20503121251336301","is_oa":true,"landing_page_url":"https://doi.org/10.1177/20503121251336301","pdf_url":null,"source":{"id":"https://openalex.org/S2764485085","display_name":"SAGE Open Medicine","issn_l":"2050-3121","issn":["2050-3121"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","norway-1","oarl","poland-20","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Sage Open Medicine","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.9940000176429749,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4409901255.pdf","grobid_xml":"https://content.openalex.org/works/W4409901255.grobid-xml"},"referenced_works_count":31,"referenced_works":["https://openalex.org/W83307757","https://openalex.org/W85653436","https://openalex.org/W1986851412","https://openalex.org/W2001110947","https://openalex.org/W2005250012","https://openalex.org/W2015724119","https://openalex.org/W2021859877","https://openalex.org/W2072500831","https://openalex.org/W2074156574","https://openalex.org/W2077311879","https://openalex.org/W2078324484","https://openalex.org/W2086223391","https://openalex.org/W2088494213","https://openalex.org/W2104806088","https://openalex.org/W2121960517","https://openalex.org/W2129192148","https://openalex.org/W2159880211","https://openalex.org/W2167025912","https://openalex.org/W2260107916","https://openalex.org/W2535374693","https://openalex.org/W2551262871","https://openalex.org/W2591632960","https://openalex.org/W2792257050","https://openalex.org/W2970490729","https://openalex.org/W3020905990","https://openalex.org/W3034556966","https://openalex.org/W3047971798","https://openalex.org/W3084188482","https://openalex.org/W3152997856","https://openalex.org/W4200085355","https://openalex.org/W4386827772"],"related_works":["https://openalex.org/W7213354539","https://openalex.org/W2009672305","https://openalex.org/W2535374693","https://openalex.org/W1983433228","https://openalex.org/W2557989401","https://openalex.org/W2597378087","https://openalex.org/W6964687190","https://openalex.org/W3083477342","https://openalex.org/W2911647649","https://openalex.org/W2206944471"],"abstract_inverted_index":{"Objectives:":[0],"Early":[1],"surgical":[2],"intervention":[3],"within":[4],"48":[5],"h":[6],"is":[7],"critical":[8],"for":[9,214,237,284,303],"reducing":[10],"mortality":[11],"and":[12,39,77,99,121,138,156,170,178,188,196,222,266,296],"morbidity":[13],"in":[14,62,87,202,268,291],"patients":[15],"with":[16,150,158,211],"hip":[17,21,65,271],"fractures.":[18,66,125,229,258,307],"However,":[19,279],"occult":[20,64,270],"fractures":[22,120,221,240,250],"are":[23,43,301],"often":[24],"missed,":[25],"leading":[26],"to":[27,45,54],"treatment":[28],"delays.":[29],"Dual-energy":[30,260],"computed":[31,49,60,70,97,134,261],"tomography":[32,61,71,98,135,262],"allows":[33],"visualization":[34],"of":[35,58,216,224,241,275],"bone":[36,40],"marrow":[37],"edema":[38],"contusions,":[41],"which":[42,104],"challenging":[44],"detect":[46],"using":[47],"conventional":[48],"tomography.":[50],"This":[51],"study":[52],"aimed":[53],"evaluate":[55],"the":[56,95,132,217,225,276],"effectiveness":[57],"dual-energy":[59,69,96,133],"diagnosing":[63],"Methods:":[67],"Eighteen":[68],"scans":[72,136,300],"obtained":[73],"between":[74],"May":[75],"2018":[76],"March":[78],"2024":[79],"were":[80,105,143,174,192,251],"analyzed.":[81],"Magnetic":[82],"resonance":[83,101,298],"imaging":[84,102,299],"was":[85,205,282],"performed":[86],"all":[88],"cases.":[89],"A":[90,199],"trained":[91],"musculoskeletal":[92],"radiologist":[93],"interpreted":[94],"magnetic":[100,297],"scans,":[103],"then":[106],"reviewed":[107,131],"by":[108],"two":[109,147],"senior":[110],"orthopedic":[111,128],"surgeons.":[112],"The":[113],"confirmed":[114],"diagnoses":[115],"included":[116],"14":[117,218],"femoral":[118,123,164,182,219,227,238,256,277,285,305],"trochanteric":[119,165,220,239],"4":[122],"neck":[124,183,228,257,286,306],"Four":[126],"junior":[127],"surgeons":[129],"independently":[130],"only":[137],"conducted":[139],"diagnostic":[140,152,203],"examinations.":[141],"Patients":[142],"subsequently":[144],"categorized":[145],"into":[146],"groups:":[148],"those":[149,157,274],"unanimous":[151],"agreement":[153,212],"(unanimity":[154],"group)":[155],"discrepancies":[159],"(objection":[160],"group).":[161],"Results:":[162],"For":[163,181],"fractures,":[166,184,272,287],"sensitivity,":[167,185],"specificity,":[168,186],"accuracy,":[169,187],"Cohen\u2019s":[171,189],"kappa":[172,190],"coefficient":[173,191,236],"94%,":[175],"81%,":[176],"0.91,":[177],"0.75,":[179],"respectively.":[180,198],"68%,":[193],"96%,":[194],"0.90,":[195],"0.69,":[197],"significant":[200],"difference":[201],"ease":[204],"noted":[206],"(":[207,243],"p":[208,244],"=":[209,245],"0.04),":[210],"achieved":[213],"12":[215],"one":[223],"four":[226],"Logistic":[230],"regression":[231,235],"analysis":[232],"yielded":[233],"a":[234],"3.05":[242],"0.03),":[246],"indicating":[247,288],"that":[248],"these":[249],"more":[252],"easily":[253],"diagnosed":[254],"than":[255],"Conclusions:":[259],"demonstrated":[263],"high":[264],"sensitivity":[265,281],"specificity":[267],"detecting":[269],"particularly":[273],"trochanter.":[278],"its":[280],"lower":[283],"limited":[289],"reliability":[290],"their":[292],"diagnosis.":[293],"Further":[294],"investigation":[295],"recommended":[302],"suspected":[304]},"counts_by_year":[{"year":2026,"cited_by_count":3}],"updated_date":"2026-11-11T12:16:26.678958","created_date":"2025-04-29T00:00:00"}
