| Goal-directed ultrasound in the detection of long-bone fractures. | |
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MedLine Citation:
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PMID: 15345981 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: New portable ultrasound (US) systems are capable of detecting fractures in the remote setting. However, the accuracy of ultrasound by physicians with minimal ultrasound training is unknown. METHODS: After one hour of standardized training, physicians with minimal US experience clinically evaluated patients presenting with pain and trauma to the upper arm or leg. The investigators then performed a long-bone US evaluation, recording their impression of fracture presence or absence. Results of the examination were compared with routine plain or computer aided radiography (CT). RESULTS: 58 patients were examined. The sensitivity and specificity of US were 92.9% and 83.3%, and of the physical examination were 78.6% and 90.0%, respectively. US provided improved sensitivity with less specificity compared with physical examination in the detection of fractures in long bones. CONCLUSION: Ultrasound scans by minimally trained clinicians may be used to rule out a long-bone fracture in patients with a medium to low probability of fracture. |
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Authors:
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Thomas H Marshburn; Eric Legome; Ashot Sargsyan; Shannon Melton James Li; Vicki A Noble; Scott A Dulchavsky; Carrie Sims; David Robinson |
Publication Detail:
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Type: Comparative Study; Journal Article; Research Support, Non-U.S. Gov't; Validation Studies |
Journal Detail:
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Title: The Journal of trauma Volume: 57 ISSN: 0022-5282 ISO Abbreviation: J Trauma Publication Date: 2004 Aug |
Date Detail:
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Created Date: 2004-09-03 Completed Date: 2004-10-05 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0376373 Medline TA: J Trauma Country: United States |
Other Details:
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Languages: eng Pagination: 329-32 Citation Subset: AIM; IM |
Affiliation:
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Medical Operations, Office of Space Medicine, NASA/Johnson Space Center, Houston, Texas 77058, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Clinical Competence / standards Education, Medical, Continuing / standards Emergency Medicine / education, standards Emergency Service, Hospital False Negative Reactions False Positive Reactions Femoral Fractures / ultrasonography* Hospitals, Teaching Humans Humeral Fractures / ultrasonography* Mass Screening / methods, standards Medical Staff, Hospital / education, standards Middle Aged Patient Selection Physical Examination / standards Point-of-Care Systems / standards* Prospective Studies Sensitivity and Specificity Tomography, X-Ray Computed / standards Ultrasonography / instrumentation, methods, standards |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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