The diagnostic accuracy of ultrasonography in determining the reduction success of distal radius fractures

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dc.contributor.authorBozkurt, Ozgur
dc.contributor.authorErsel, Murat
dc.contributor.authorAkarca, Funda Karbek
dc.contributor.authorYalcinli, Sercan
dc.contributor.authorMidik, Sadiye
dc.contributor.authorKucuk, Levent
dc.date.accessioned2019-10-27T10:02:44Z
dc.date.available2019-10-27T10:02:44Z
dc.date.issued2018
dc.departmentEge Üniversitesien_US
dc.description.abstractObjective: We evaluated the sensitivity and specificity of bedside ultrasound (US) for determining the success of reduction of displaced distal radius fractures. In addition, we determined the ability of US to diagnose causes of unsuccessful reduction. Methods: In a prospective, double-blind fashion, patients over 18 of age whose acute distal radius fracture was to be reduced were approached for inclusion. The closed reductions were performed by orthopedics residents. Post-reduction, the fracture was checked by an EmergencyMedicine (EM) resident by US. Ultrasound images were evaluated by an EM attending physician blinded to X-ray findings and post-reduction X-ray images were evaluated by an orthopedic surgeon blinded to the US findings. Results: Sixty patients agreed to participate in the study. Of these, reduction was deemed successful by X-ray in 40 (66.7%). Of these 40, 39 (97.5%) were found to be successful reductions by US. In the 20 of 60 (33.3%) patients with unsuccessful reduction by X-ray, 19 (95%) were considered unsuccessful reductions by US. In evaluating the success of distal radius fracture reduction, compared to X-rays, US was 97.5% (95% CI 86.8 to 99.9) sensitive and 95% (95% CI 75.1 to 99.9) specific; its positive predictive value was 97.5% (95% CI 85.2 to 99.6) and negative predictive value 95% (95% CI 73.2 to 99.2). Conclusions: Ultrasonography is highly sensitive and specific in determining the success of distal radius fracture reduction. Copyright (c) 2018 The Emergency Medicine Association of Turkey. Production and hosting by Elsevier B.V. on behalf of the Owner. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).en_US
dc.identifier.doi10.1016/j.tjem.2018.04.001en_US
dc.identifier.endpage118en_US
dc.identifier.issn2452-2473
dc.identifier.issue3en_US
dc.identifier.pmid30191190en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage111en_US
dc.identifier.urihttps://doi.org/10.1016/j.tjem.2018.04.001
dc.identifier.urihttps://hdl.handle.net/11454/30032
dc.identifier.volume18en_US
dc.identifier.wosWOS:000446628200005en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherElsevier Science Bven_US
dc.relation.ispartofTurkish Journal of Emergency Medicineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectUltrasonographyen_US
dc.subjectFractureen_US
dc.subjectDistal radiusen_US
dc.subjectReductionen_US
dc.titleThe diagnostic accuracy of ultrasonography in determining the reduction success of distal radius fracturesen_US
dc.typeArticleen_US

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