A Concise and Comprehensive Description of Shoulder Pathology and Procedures: The 4D Code System
Background. We introduce a novel description system of shoulder pathoanatomy. Its goal is to provide a comprehensive three-dimensional picture, with an additional component of time; thus, we call it the 4D code. Methods. Each line of the code starts with right versus left and a time designation. Th...
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| Format: | Article |
| Language: | English |
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Wiley
2012-01-01
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| Series: | Advances in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2012/930543 |
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| _version_ | 1832554130735890432 |
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| author | Laurent Lafosse Tom Van Isacker Joseph B. Wilson Lewis L. Shi |
| author_facet | Laurent Lafosse Tom Van Isacker Joseph B. Wilson Lewis L. Shi |
| author_sort | Laurent Lafosse |
| collection | DOAJ |
| description | Background. We introduce a novel description system of shoulder pathoanatomy. Its goal is to provide a comprehensive three-dimensional picture, with an additional component of time; thus, we call it the 4D code. Methods. Each line of the code starts with right versus left and a time designation. The pillar components are recorded regardless of pathology; they include subscapularis, long head of biceps tendon, supraspinatus, infraspinatus, and teres minor. Secondary elements can be added if there is observed pathology, including acromioclavicular joint, glenohumeral joint, labrum, tear configuration, location and extent of partial cuff tear, calcific tendonitis, fatty infiltration, and neuropathy. Results. We provide two illustrative examples of patients which show the ease and effectiveness of the 4D code. With a few simple lines, significant amount of information about patients’ pathology, surgery, and recovery can be easily conveyed. Discussion. We utilize existing validated classification systems for parts of the shoulder and provide a frame work to build a comprehensive picture. The alphanumeric code provides a simple language that is universally understood. The 4D code is concise yet complete. It seeks to improve efficiency and accuracy of the communication, documentation, and visualization of shoulder pathology within individual practices and between providers. |
| format | Article |
| id | doaj-art-0d532f89f63940919da44d4cfe85013b |
| institution | Kabale University |
| issn | 2090-3464 2090-3472 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Advances in Orthopedics |
| spelling | doaj-art-0d532f89f63940919da44d4cfe85013b2025-02-03T05:52:10ZengWileyAdvances in Orthopedics2090-34642090-34722012-01-01201210.1155/2012/930543930543A Concise and Comprehensive Description of Shoulder Pathology and Procedures: The 4D Code SystemLaurent Lafosse0Tom Van Isacker1Joseph B. Wilson2Lewis L. Shi3Alps Surgery Institute, Clinique Generale, 4 Chemin Tour la Reine, 74000 Annecy, FranceDepartment of Orthopaedics, AZ Sint-Lucas, Sint-Lucaslaan 29, 8310 Brugge, BelgiumTriangle Orthopaedics Associates, 120 William Penn Plaza, Durham, NC 27704, USADepartment of Orthopaedics, University of Chicago, 5841 S. Maryland Avenue, Chicago, IL 60637, USABackground. We introduce a novel description system of shoulder pathoanatomy. Its goal is to provide a comprehensive three-dimensional picture, with an additional component of time; thus, we call it the 4D code. Methods. Each line of the code starts with right versus left and a time designation. The pillar components are recorded regardless of pathology; they include subscapularis, long head of biceps tendon, supraspinatus, infraspinatus, and teres minor. Secondary elements can be added if there is observed pathology, including acromioclavicular joint, glenohumeral joint, labrum, tear configuration, location and extent of partial cuff tear, calcific tendonitis, fatty infiltration, and neuropathy. Results. We provide two illustrative examples of patients which show the ease and effectiveness of the 4D code. With a few simple lines, significant amount of information about patients’ pathology, surgery, and recovery can be easily conveyed. Discussion. We utilize existing validated classification systems for parts of the shoulder and provide a frame work to build a comprehensive picture. The alphanumeric code provides a simple language that is universally understood. The 4D code is concise yet complete. It seeks to improve efficiency and accuracy of the communication, documentation, and visualization of shoulder pathology within individual practices and between providers.http://dx.doi.org/10.1155/2012/930543 |
| spellingShingle | Laurent Lafosse Tom Van Isacker Joseph B. Wilson Lewis L. Shi A Concise and Comprehensive Description of Shoulder Pathology and Procedures: The 4D Code System Advances in Orthopedics |
| title | A Concise and Comprehensive Description of Shoulder Pathology and Procedures: The 4D Code System |
| title_full | A Concise and Comprehensive Description of Shoulder Pathology and Procedures: The 4D Code System |
| title_fullStr | A Concise and Comprehensive Description of Shoulder Pathology and Procedures: The 4D Code System |
| title_full_unstemmed | A Concise and Comprehensive Description of Shoulder Pathology and Procedures: The 4D Code System |
| title_short | A Concise and Comprehensive Description of Shoulder Pathology and Procedures: The 4D Code System |
| title_sort | concise and comprehensive description of shoulder pathology and procedures the 4d code system |
| url | http://dx.doi.org/10.1155/2012/930543 |
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