What question did this study set out to answer?

To assess the diagnostic accuracy of emergency physicians interpreting direct X-rays of extremity traumas and determine anatomical areas most prone to misinterpretation compared with official radiology reports.

January 1, 2013Turkish Journal of Trauma and Emergency SurgeryOpen Access

The missed extremity fractures in emergency department

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To assess the diagnostic accuracy of emergency physicians interpreting direct X-rays of extremity traumas and determine anatomical areas most prone to misinterpretation compared with official radiology reports.
Retrospective comparative analysis of emergency physician interpretations versus official radiologist reports for direct X-rays of isolated extremity trauma from May 1 to May 31, 2011 (N=608 cases, with 181 confirmed fractures).
Misinterpreted fractures were most frequently localized to the ankle and foot (51.4%) and wrist and hand (32.4%), followed by elbow and forearm (5.4%), shoulder and upper arm (5.4%), hip and thigh (2.7%), and knee and leg (2.7%).
Inter-observer diagnostic agreement between emergency physicians and radiologists was high (kappa=0.856, p=0.001).

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Implication

Retrospective study finds foot, ankle, wrist, and hand injuries account for most misinterpreted extremity fractures in trauma patients, highlighting priorities for physician training.

Cite This Study

Er et al. (2013) studied this question.

synapsesocial.com/papers/6a1be9b1d54006be995f39b6 https://doi.org/10.5505/tjtes.2013.08555

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Implication

Retrospective study finds foot, ankle, wrist, and hand injuries account for most misinterpreted extremity fractures in trauma patients, highlighting priorities for physician training.

The missed extremity fractures in emergency department

Key Points

Discussion

Implication

Cite This Study

The missed extremity fractures in emergency department

Key Points

Discussion

Implication

Cite This Study

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