RADIOGRAPHY OF OS HUMERUS SINISTRA WITH SUSPENSION MULTIPLE FRACTURES OF THE MIDDLE 1/3 OF THE HUMERUS AT THE Drs. H. AMRI TAMBUNAN LUBUK PAKAM REGIONAL HOSPITAL
Keywords:
Os Humerus, Multiple Fractures, Digital radiography (DR)Abstract
The humerus is the longest and largest bone in the upper extremity. It articulates proximally with the scapula and distally with the elbow or antebrachium. The proximal end of the humerus has a rounded head (caput humeri) that articulates with the glenoid cavity of the scapula to form the glenohumeral joint. Distal to the humeral head is the anatomical neck, which appears as an oblique groove. Distal to the anatomical neck is the greater tubercle. The greater tubercle is the most palpable lateral landmark of the humerus in the shoulder region. Between the greater tubercle and the lesser tubercle is a groove called the intertubercular sulcus. The primary function of the humerus is to provide attachment for arm muscles and support various physical functions of the arm. A fracture is a condition in which the continuity of bone and cartilage is disrupted due to impact or osteoporosis. Multiple fractures are a condition in which the continuity of bone tissue is lost in more than one line. This study aims to produce an optimal radiographic image of the left humerus with suspected Multiple Fractures of the Middle 1/3 of the Humerus, so that the photo results can be used as accurate results for further treatment. This study was conducted at the Radiology Installation of Drs. H. Amri Tambunan Regional General Hospital, the research time was in April 2025, the research method used was the interview method, and direct observation. Examination of the left humerus with suspected Multiple Fractures of the Middle 1/3 of the Humerus was carried out using Antero-Posterior and Lateral projections. In this examination the author used a general X-ray unit, with the image recording process using digital radiography (DR).
References
Y.-T. Kim, T. S. Jeong, Y. J. Kim, W. S. Kim, K. G. Kim, En G. T. Yee, “Automatic Spine Segmentation And Parameter Measurement For Radiological Analysis Of Whole-Spine Lateral Radiographs Using Deep Learning And Computer Vision”, J. Digit. Imaging, Vol 36, No 4, Bll 1447–1459, 2023, Doi: Https://Doi.Org/10.1007/S10278-023-00830-Z.
A. Tabard-Fougère, C. De Bodman, A. Dhouib, A. Bonnefoy-Mazure, S. Armand, En R. Dayer, “Three-Dimensional Spinal Evaluation Using Rasterstereography In Patients With Adolescent Idiopathic Scoliosis: Is It Closer To Three-Dimensional Or Two-Dimensional Radiography?”, Diagnostics, Vol 13, No 14, Bl 2431, 2023, Doi: Https://Doi.Org/10.3390/Diagnostics13142431.
J. A. Hipp, T. F. Grieco, P. Newman, En C. A. Reitman, “Definition Of Normal Vertebral Morphometry Using Nhanes Ii Radiographs”, J. Bone Miner. Res. Plus, Vol 6, No 10, Bl E10677, 2022.
P. Tavana, M. Akraminia, A. Koochari, En A. Bagherifard, “Classification Of Spinal Curvature Types Using Radiography Images: Deep Learning Versus Classical Methods”, Artif. Intell. Rev., Vol 56, No 11, Bll 13259–13291, 2023, Doi: Https://Doi.Org/10.1007/S10462-023-10480-W.
L. Becker Et Al., “Lumbosacral Transitional Vertebrae Alter The Distribution Of Lumbar Mobility–Preliminary Results Of A Radiographic Evaluation”, Plos One, Vol 17, No 9, Bl E0274581, 2022.
Y. Alashban, N. Shubayr, A. A. Alghamdi, S. A. Alghamdi, En S. Boughattas, “An Assessment Of Image Reject Rates For Digital Radiography In Saudi Arabia: A Cross-Sectional Study”, J. Radiat. Res. Appl. Sci., Vol 15, No 1, Bll 219–223, 2022, Doi: Https://Doi.Org/10.1016/J.Jrras.2022.01.023.
S. M. Ryu Et Al., “Diagnosis Of Osteoporotic Vertebral Compression Fractures And Fracture Level Detection Using Multitask Learning With U-Net In Lumbar Spine Lateral Radiographs”, Comput. Struct. Biotechnol. J., Vol 21, Bll 3452–3458, 2023, Doi: Https://Doi.Org/10.1016/J.Csbj.2023.06.017.
A. Yu Et Al., “Radiographic Assessment Of Successful Lumbar Spinal Fusion: A Systematic Review Of Fusion Criteria In Randomized Trials”, Glob. Spine J., Bl 21925682251384664, 2025, Doi: Https://Doi.Org/10.1177/21925682251384662.
A. Saremi, K. K. Goyal, E. C. Benzel, En R. D. Orr, “Evolution Of Lumbar Degenerative Spondylolisthesis With Key Radiographic Features”, Spine J., Vol 24, No 6, Bll 989–1000, 2024, Doi: Https://Doi.Org/10.1016/J.Spinee.2024.01.001.
V. Logithasan, J. Wong, M. Reformat, En E. Lou, “Using Machine Learning To Automatically Measure Axial Vertebral Rotation On Radiographs In Adolescents With Idiopathic Scoliosis”, Med. Eng. Phys., Vol 107, Bl 103848, 2022, Doi: Https://Doi.Org/10.1016/J.Medengphy.2022.103848.
S. T. Willesen Et Al., “Mri-Based Synthetic Ct: A New Method For Structural Damage Assessment In The Spine In Patients With Axial Spondyloarthritis–A Comparison With Low-Dose Ct And Radiography”, Ann. Rheum. Dis., Vol 83, No 6, Bll 807–815, 2024, Doi: Https://Doi.Org/10.1136/Ard-2023-225444.
P. D. Trobisch, R. Castelein, En S. Da Paz, “Radiographic Outcome After Vertebral Body Tethering Of The Lumbar Spine”, Eur. Spine J., Vol 32, No 6, Bll 1895–1900, 2023, Doi: Https://Doi.Org/10.1007/S00586-023-07740-2.
X. Chen, S. Sima, H. S. Sandhu, J. Kuan, En A. D. Diwan, “Radiographic Evaluation Of Lumbar Intervertebral Disc Height Index: An Intra And Inter-Rater Agreement And Reliability Study”, J. Clin. Neurosci., Vol 103, Bll 153–162, 2022, Doi: Https://Doi.Org/10.1016/J.Jocn.2022.07.018.
A. Patel, F. Schnoll-Sussman, En C. P. Gyawali, “Diagnostic Testing For Esophageal Motility Disorders: Barium Radiography, High-Resolution Manometry, And The Functional Lumen Imaging Probe (Flip)”, In The Afs Textbook Of Foregut Disease, Cham: Springer International Publishing, 2023, Bll 269–278.
A. D. Stirling, M. C. Murphy, W. L. Murray, En J. G. Murray, “Patient’s Posteroanterior Chest Radiographs Are Routinely Displayed At Different Sizes On Pacs: Cause And Prevalence”, Clin. Imaging, Vol 90, Bll 59–62, Okt 2022, Doi: 10.1016/J.Clinimag.2022.07.010.
M. J. Nelson Et Al., “Comparison Of Endoscopy And Radiographic Imaging For Detection Of Esophageal Inflammation And Remodeling In Adults With Eosinophilic Esophagitis”, Gastrointest. Endosc., Vol 87, No 4, Bll 962–968, Apr 2018, Doi: 10.1016/J.Gie.2017.09.037.
V. Sharma, K. Kumar, V. Kalia, En P. Soni, “Evaluation Of Femoral Neck-Shaft Angle In Subhimalayan Population Of North West India Using Digital Radiography And Dry Bone Measurements”, J. Sci. Soc., Vol 45, No 1, Bl 3, 2018, Doi: 10.4103/Jss.Jss_34_17.
N. I. Olmedo-Garcia Et Al., “Assessment Of Magnification Of Digital Radiographs In Total Hip Arthroplasty”, J. Orthop., Vol 15, No 4, Bll 931–934, Des 2018, Doi: 10.1016/J.Jor.2018.08.024.
A. K. Prakash, S. G. Kotalwar, B. Datta, P. Chatterjee, S. Mittal, En A. Jaiswal, “To Evaluate The Inter And Intraobserver Agreement In The Initial Diagnosis By Digital Chest Radiograph Sent Via Whatsapp Messenger”, In Imaging, Sep 2019, Bl Pa4820, Doi: 10.1183/13993003.Congress-2019.Pa4820.
M. Shafiee Et Al., “Knowledge And Skills Of Radiographers Concerning ‘Digital Chest Radiography’”, J. Clin. Care Ski., Vol 3, No 4, Bll 197–202, Des 2022, Doi: 10.52547/Jccs.3.4.197.
A. Peiro, N. Chegeni, A. Danyaei, M. Tahmasbi, En J. Fatahiasl, “Pelvis Received Dose Measurement For Trauma Patients In Multi-Field Radiographic Examinations: A Tld Dosimetry Study”, 2022.
V. Torrecillas En J. D. Meier, “History And Radiographic Findings As Predictors For Esophageal Coins Versus Button Batteries”, Int. J. Pediatr. Otorhinolaryngol., Vol 137, No 5, Bl 110208, Okt 2020, Doi: 10.1016/J.Ijporl.2020.110208.
V. Torrecillas En J. D. Meier, “History And Radiographic Findings As Predictors For Esophageal Coins Versus Button Batteries”, Int. J. Pediatr. Otorhinolaryngol., Vol 137, Bl 110208, 2020.
T. J. Meyer Et Al., “Systematic Analysis Of Button Batteries’, Euro Coins’, And Disk Magnets’ Radiographic Characteristics And The Implications For The Differential Diagnosis Of Round Radiopaque Foreign Bodies In The Esophagus”, Int. J. Pediatr. Otorhinolaryngol., Vol 132, Bl 109917, 2020.
V. Sharma, K. Kumar, V. Kalia, En P. K. Soni, “Evaluation Of Femoral Neck-Shaft Angle In Subhimalayan Population Of North West India Using Digital Radiography And Dry Bone Measurements”, J. Sci. Soc., Vol 45, No 1, Bll 3–7, 2018.
W. Elshami, M. M. Abuzaid, En H. O. Tekin, “Effectiveness Of Breast And Eye Shielding During Cervical Spine Radiography: An Experimental Study”, Risk Manag. Healthc. Policy, Bll 697–704, 2020.
H. Alsleem Et Al., “Evaluation Of Radiographers’ Practices With Paediatric Digital Radiography Based On Pacs’ Data”, Integr. J. Med. Sci., Vol 7, 2020, Doi: 10.15342/Ijms.7.216.
A. Pongkunakorn, C. Aksornthung, En N. Sritumpinit, “Accuracy Of A New Digital Templating Method For Total Hip Arthroplasty Using Picture Archiving And Communication System (Pacs) And Iphone Technology: Comparison With Acetate Templating On Digital Radiography”, J. Arthroplasty, Vol 36, No 6, Bll 2204–2210, Jun 2021, Doi: 10.1016/J.Arth.2021.01.019.
I. A. N. Liscyaningsih, M. Fa’ik, En V. V. Felleaningrum, “Difference In Radiograph Image Between Prints Directly On Cr Modality With Print Through Pacs”, In 2022 ‘Aisyiyah International Conference On Health And Medical Sciences (A-Hms 2022), Atlantis Press, 2023, Bll 248–253.
S. Sukegawa Et Al., “Multi-Task Deep Learning Model For Classification Of Dental Implant Brand And Treatment Stage Using Dental Panoramic Radiograph Images”, Biomolecules, Vol 11, No 6, Bl 815, Mei 2021, Doi: 10.3390/Biom11060815.
E. K. Wati, “Penatalaksanaan Teknik Radiografi Abdomen 3 Posisi Pada Kasus Ileus Paralitik Dengan Modalitas Computed Radiography Di Instalasi Radiologi”, J. Compr. Sci., Vol 2, No 9, Bll 1605–1622, 2023, Doi: Https://Doi.Org/10.59188/Jcs.V2i9.518.
S. L. Purchase, “Point And Shoot: A Radiographic Analysis Of Mastoiditis In Archaeological Populations From England’s North-East”. University Of Sheffield, 2021.
F. P. Machado, J. E. F. Dornelles, S. Rausch, R. J. Oliveira, P. R. Portela, En A. L. S. Valente, “Osteology Of The Pelvic Limb Of Nine-Banded-Armadillo, Dasypus Novemcinctus Linnaeus, 1758 Applied To Radiographic Interpretation”, Brazilian J. Dev., Vol 9, No 05, Bll 14686–14709, 2023.
D. A. Rosenfield, N. F. Paretsis, P. R. Yanai, En C. S. Pizzutto, “Gross Osteology And Digital Radiography Of The Common Capybara (Hydrochoerus Hydrochaeris), Carl Linnaeus, 1766 For Scientific And Clinical Application”, Brazilian J. Vet. Res. Anim. Sci., Vol 57, No 4, Bll E172323–E172323, 2020.
J. J. Crivelli Et Al., “Clinical And Radiographic Outcomes Following Salvage Intervention For Ureteropelvic Junction Obstruction”, Int. Braz J Urol, Vol 47, Bll 1209–1218, 2021.
R. Whelan, A. Shaffer, En J. E. Dohar, “Button Battery Versus Stacked Coin Ingestion: A Conundrum For Radiographic Diagnosis”, Int. J. Pediatr. Otorhinolaryngol., Vol 126, Bl 109627, Nov 2019, Doi: 10.1016/J.Ijporl.2019.109627.
T. Tsuboyama Et Al., “Mri Of Borderline Epithelial Ovarian Tumors: Pathologic Correlation And Diagnostic Challenges”, Radiographics, Vol 42, No 7, Bll 2095–2111, 2022, Doi: Https://Doi.Org/10.1148/Rg.220068.
C. L. Hermansen En A. Mahajan, “Newborn Respiratory Distress”, Am. Fam. Physician, Vol 92, No 11, Bll 994–1002, 2015, Doi: 10.1007/978-3-030-26044-6_157.
