The accuracy of bedside ultrasonography as a diagnostic tool for fractures in the ankle and foot.

نویسندگان

  • Ozge Duman Atilla
  • Murat Yesilaras
  • Turgay Yilmaz Kilic
  • Feriyde Caliskan Tur
  • Ali Reisoglu
  • Mustafa Sever
  • Ersin Aksay
چکیده

OBJECTIVES Ultrasonography (US) has been shown to be helpful in diagnosing fractures in the emergency department (ED) setting. The aim of this study was to determine the diagnostic accuracy of US for fractures in patients presenting to the ED with foot and/or ankle sprain and positive Ottawa foot and ankle rules. METHODS This was a prospective study of consecutive patients aged 18 years and over were admitted to the ED with acute foot and/or ankle sprain and positive Ottawa foot and ankle rules. After the patients by were examined by bedside US, anteroposterior and lateral ankle radiographs were obtained, as well as anteroposterior and oblique foot radiographs. The films were evaluated by an orthopedic surgeon who was blinded to the US examination results. The orthopedic surgeon's evaluation was considered the criterion standard for diagnosing a fracture. RESULTS A total of 246 patients were included in the study. In 76 (30.9%) of the patients, a total of 79 fractures were detected by radiography. Ten false-negative and nine false-positive results were obtained by US examination. Only one patient, whose US showed a fracture but whose radiographs were normal, had a fracture detected by computed tomography (CT). The sensitivity and specificity of US scanning in detecting fractures were 87.3% (95% confidence interval [CI] = 77.5% to 93.4%) and 96.4% (95% CI = 93.1% to 98.2%), respectively. CONCLUSIONS Ultrasound had good sensitivity and specificity for diagnosing fifth metatarsal, lateral, and medial malleolus fractures in the patients with foot and/or ankle sprain. However, sensitivity and specificity of US for navicular fractures were low.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Bedside Ultrasonography for Early Diagnosis of Occult Radial Head Fractures in Emergency Room: A CTComparative Diagnostic Study

Background: Some of the Mason type I fractures cannot be detected on early radiographic images. These occultfractures are considered as a diagnostic challenge for physicians. Our aim was to determine the value of bedsideultrasonography for the detection of Mason I radial head fractures that are non-visible in early X-ray’s.Methods: A prospective blind single-center diagnostic study was conducte...

متن کامل

بررسی دقت سونوگرافی بر بالین بیمار برای تشخیص پنوموتوراکس در بخش اورژانس بیمارستان حضرت رسول اکرم (ص) در سال 1387

Background: Pneumothorax may be associated with penetrating or blunt chest traumas' that need early diagnosis and treatment. Today the diagnosis modalities are CXR and CT-Scan that are not suitable for unstable patients. Chest sonography can be a fast diagnostic method at patient bedside. The purpose of this study was to evaluate the accuracy of bedside ultrasonography in diagnosis of pneumotho...

متن کامل

Extremity Fracture Diagnosis Using Bedside Ultrasound in Pediatric Trauma Patients Referring to Emergency Department; A Diagnostic Study

Background This study performed to assess the efficacy of ultrasound in screening upper and lower extremities fractures in comparison with standard X-ray in pediatric trauma patients. Materials and Methods This was a prospective diagnostic study conducted at the emergency department of Imam Khomeini Complex Hospital, Tehran, Iran. All patients with the age under 18-year-old admitted with limb t...

متن کامل

Efficacy of Different Types of Foot Orthoses on Postural Control in Subjects With Lateral Ankle Sprain: A Systematic Review

Background and Objectives: Lateral ankle sprain is one of the most common injuries to the musculoskeletal system, especially among active people. This injury causes complex complications, such as recurrent sprain because of reduced postural control. Foot orthoses are among the interventions used to improve postural control in this population. This review aims to investigate foot orthoses to imp...

متن کامل

Evaluation of Ultrasonography in Diagnosis of Nasal Fracture and Compared it with Plain Radiography in Dogs

Objective- One of the important causes of nasal fracture is a trauma that can be diagnosed in clinical examinations and diagnostic imaging but it should be noted that radiography may show false fractures in the nose. This study evaluates the value of ultrasonography in the diagnosis of nasal fractures and compared it with plain radiography. Design- Retrospective study. Animals- 12 d...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • Academic emergency medicine : official journal of the Society for Academic Emergency Medicine

دوره 21 9  شماره 

صفحات  -

تاریخ انتشار 2014