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Open Orthop J. 2010 Apr 23;4:164-8. doi: 10.2174/1874325001004010164.

Consultation of orthopaedics cases using multimedia messaging services.

Author information

1
Department of Orthopaedics and Trauma, Modbury Public Hospital, 41-69 Smart Road, Modbury, SA 5092, Australia.

Abstract

BACKGROUND:

Frequently, radiological data is transferred verbally between the Emergency Department (ED) and orthopaedic registrar. Given the different language skills and medical experience of health staff, there is often a limit to the adequacy of the verbal description that could lead to suboptimal patient care. This study proposes that concurrent review of MMS teleradiology with traditional verbal reporting results in a significant therapeutic benefit.

METHODS:

Case notes of 40 patients who presented to ED were reviewed. Images were captured and sent to an Orthopaedic registrar along with a brief clinical synopsis. Information was collected on the diagnosis of the MMS radiograph, need for urgent admission and management plan outlined to ED.

RESULTS:

Correct diagnosis was made in 27 of 40 cases. Using the latest technology available, MMS teleradiology had 79% sensitivity, 83% specificity and an accuracy of 80%. 50% of paediatric fractures and 60% of undisplaced fractures were diagnosed successfully.

CONCLUSION:

MMS teleradiology is not suitable by itself as a remote diagnostic tool. However, when combined with existing clinical practice, it is effective in screening patients, enhances confidence in decision making and communication between doctors.

KEYWORDS:

MMS teleradiology; remote consults; remote orthopaedic consults and image transfer.; teleradiology

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