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. 2022 Dec 12;23:1086. doi: 10.1186/s12891-022-06056-4

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© The Author(s) 2022

Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

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Fig. 4 — Depicted is a case with high disagreement between the classification done by MRI (a: STIR-Sequence, b: T2-Sequence) only and under consideration of both MRI and CT (c). The majority of rater classified this fracture as type OF 4 fracture after evaluating the MRI and re-classified it as type OF 3 fracture under consideration of the additional CT. However, the OF score was 7 and 9 in case of OF type 3 and OF type 4 fracture, respectively. Thus, operative treatment was recommended based on the OF-score regardless of type OF 3 or 4 fracture classification