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Detection of bony fractures: a comparison study of conventional radiography with ultrasound

Khan ZG, Ali Z, Usman F, Tanoli AA, Farooq K, Kamran U

NeuroQuantology 2023 Mar;21(5):699-707

primary study

BACKGROUND: Injuries are a leading source of mortality and disability around the globe. Among them, fractured bones are frequent injuries. When the continuity of the bone is broken, a surgical condition called a bone fracture results. When the bone breaks due to a significant force, they happen. AIM: Aim of this study was to compare the accuracy of ultrasonography and conventional radiography in detecting fractures in individuals who have a clinical suspicion of having them. METHOD(S): Settings and research design: Fifty patients with clinically suspected fractures from any age group and sex who visited our institution's emergency wing, orthopedic outdoor or indoor, and other departments were included in the study. Following a conventional radiograph (CR) examination of the patients, real-time ultrasonography was performed utilizing a high-frequency linear transducer in both the longitudinal and transverse planes. To examine the relative effectiveness of radiography and ultrasonography in identifying fractures, the findings from both techniques were compared. RESULT(S): The accuracy, NPV, PPV, specificity, and sensitivity of the CR versus USG were, however, 60%, 33.3%, 100%, 100%, and 50%, respectively, in the case of flat bones. The research shows that for the identification of long bone fractures, the accuracy, positive predictive value (PPV), negative predictive value (NPV), sensitivity, specificity, and accuracy of the CR versus USG are all 100%. Additionally, the accuracy, NPV, PPV, specificity, and sensitivity of the CR versus USG in the situation of a short bone fracture diagnosis are 66.67%, 33.3%, 100%, 100%, and 60%, respectively. Therefore, in this investigation, the overall accuracy, NPV, PPV, specificity, and sensitivity of CR against USG were 88%, 72.73%, 100%, 100%, and 82.35%, respectively. CONCLUSION(S): USG is a radiation-free, readily accessible, portable, and cost-effective imaging approach for locating fractures that are only superficially placed. It is discovered to be more sensitive than CR in detecting fractures of short and flat bones and comparable in sensitivity to fractures of long bones. KEYWORDS: ultrasonography, radiography, fractures.

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