The comparison of point-of-care ultrasonography and radiography in the diagnosis of tibia and fibula fractures

dc.contributor.authorKozacı, Nalan
dc.contributor.authorAy, Mehmet Oğuzhan
dc.contributor.authorAvcı, Mustafa
dc.contributor.authorTurhan, Sadullah
dc.contributor.authorDonertas, Eda
dc.contributor.authorÇelik, Ahmet
dc.contributor.authorArarat, Ertan
dc.contributor.authorAkgün, Emrah
dc.date.accessioned2019-05-10T09:38:53Z
dc.date.available2019-05-10T09:38:53Z
dc.date.issued2017
dc.departmentHitit Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü
dc.description.abstractObjective We aimed to compare the efficacy of Point-of-care ultrasonography (POCUS) with radiography in the diagnosis of tibia fracture (TF) and fibula fracture (FF), and determation of fracture characteristics. Methods Patients aged 5–55 years who were admitted to ED due to low-energy, simple extremity trauma, who had a suspected TF and FF on physical examination were included in this prospective study. One physician performed POCUS examination. Other physician evaluated the radiography images. The obtained results were compared. Results A total of 62 patients were included in the study. TF was detected in 21 patients by radiography and in 24 patients by POCUS. FF was detected in 24 patients by radiography and in 25 patients by POCUS. Ten of the patients had both TF and FF. Compared with radiography, sensitivity, specificity, PPV and NPV of POCUS in the detection of TF were 100%, 93%, 88% and 100% (95% CI, 91–100%), respectively. Compared with direct X-ray imaging, sensitivity, specificity, PPV and NPV of POCUS in the detection of FF were 100%, 97%, 96% and 100% (95% CI, 96–100%), respectively. We determined that POCUS is also successful in detection of fracture features such as angulation, step-off, extension into the joint space that can determine the treatment decision. Conclusion This study demonstrated that POCUS was found to be as successful as direct X-ray imaging in the diagnosis of TF and FF. © 2017 Elsevier Ltd
dc.identifier.citationKozaci, N., Ay, M. O., Avci, M., Turhan, S., Donertas, E., Celik, A., ... & Akgun, E. (2017). The comparison of point-of-care ultrasonography and radiography in the diagnosis of tibia and fibula fractures. Injury, 48(7), 1628-1635.
dc.identifier.doi10.1016/j.injury.2017.04.010
dc.identifier.endpage1635en_US
dc.identifier.issn0020-1383
dc.identifier.issue7en_US
dc.identifier.scopusqualityQ1
dc.identifier.startpage1628en_US
dc.identifier.urihttps://doi.org/10.1016/j.injury.2017.04.010
dc.identifier.urihttps://hdl.handle.net/11491/530
dc.identifier.volume48en_US
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherElsevier Ltd
dc.relation.ispartofInjury
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectDiagnosisen_US
dc.subjectFibulaen_US
dc.subjectFractureen_US
dc.subjectOrthopedicsen_US
dc.subjectRadiographyen_US
dc.subjectTibiaen_US
dc.subjectUltrasonographyen_US
dc.titleThe comparison of point-of-care ultrasonography and radiography in the diagnosis of tibia and fibula fractures
dc.typeArticle

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