Detection of missed fractures of hand and forearm in whole-body CT in a blinded reassessment

Abstract Background We examined the visibility of fractures hand and forearm in whole-body CT its influence on delayed diagnosis. This study is based a prior diagnosis patients with suspected polytrauma. Methods Two blinded radiologists CT-scans or that were diagnosed later than 24 h after admission control cases unremarkable imaging those areas. They provided clinical information was documented report asked to examine hands. After unblinding, determined. if time slice thickness factor for late missed diagnoses. Results included 72 known 36 cases. Of 65 visible. Sixteen visible during hospital stay. Eight more detected revision by radiologists. Both found new not reported other. Missed diagnoses occurred often around 5 pm 1 am. Slice significantly different between within later. Conclusions The number completely may be reduced repeated survey WBCT focus extremities polytrauma who are conscious. Level evidence III