2014
DOI: 10.1111/acem.12467
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The Accuracy of Bedside Ultrasonography as a Diagnostic Tool for Fractures in the Ankle and Foot

Abstract: 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 pat… Show more

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Cited by 46 publications
(65 citation statements)
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“…In 2013, Joshi et al published a review of the diagnostic accuracy of history, physical examination, and bedside ultrasound for the diagnosis of extremity fractures in the ED. 48 In addition to eight articles that had not been published at that time, 20,[26][27][28]32,33,41,46 our study includes thirteen other articles not included in that review. 21,22,24,25,29,30,[34][35][36]38,41,43,44 Additional studies were possibly found as a result of a more comprehensive search strategy.…”
Section: Discussionmentioning
confidence: 99%
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“…In 2013, Joshi et al published a review of the diagnostic accuracy of history, physical examination, and bedside ultrasound for the diagnosis of extremity fractures in the ED. 48 In addition to eight articles that had not been published at that time, 20,[26][27][28]32,33,41,46 our study includes thirteen other articles not included in that review. 21,22,24,25,29,30,[34][35][36]38,41,43,44 Additional studies were possibly found as a result of a more comprehensive search strategy.…”
Section: Discussionmentioning
confidence: 99%
“…All studies reported both the sensitivity and specificity of PoCUS, and LRs were calculated from these values when the authors did not include them in their manuscripts. Twenty-five studies 7,[20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37][38][39][41][42][43][44] were included, ranging from 26 to 653 patients. Collectively, these studies included 2,982 patients and identified 1,200 fractures, with fracture prevalence ranging from 7% to 71% (aggregate prevalence of 40.2%).…”
Section: Study Characteristicsmentioning
confidence: 99%
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“…17–19 25 Additionally, there have been numerous case reports describing the detection of non-long bone type fractures with US (figures 13 and 14). 26–35 They suggest that ultrasonography is a useful adjunct to radiography when a non-long bone fracture is suspected.…”
Section: Introductionmentioning
confidence: 99%
“…The physician/ultrasonographer should remain alert for the possibility of a fracture as reports have described the detection of an unsuspected fracture during the routine US examination of the wrist, ankle and foot (figure 16). 25 30 34 35 Characteristic of these areas are multiple small bones and joints with complex shapes in which fractures may be difficult to detect by standard radiography. Thus, careful scrutiny of the bone surfaces should be a routine part of ultrasonographic examination of these areas particularly when a history of trauma is present (figure 17).…”
Section: Introductionmentioning
confidence: 99%