0 266

Cited 42 times in

Role of sonography in the emergency room to diagnose sternal fractures

Authors
 Je Sung You  ;  Yong Eun Chung  ;  Donghyun Kim  ;  Saehwan Park  ;  Sung Pil Chung 
Citation
 JOURNAL OF CLINICAL ULTRASOUND, Vol.38(3) : 135-137, 2010 
Journal Title
 JOURNAL OF CLINICAL ULTRASOUND 
ISSN
 0091-2751 
Issue Date
2010
MeSH
Adolescent ; Adult ; Aged ; Child ; Diagnosis, Differential ; Emergency Service, Hospital* ; Female ; Fractures, Bone/diagnostic imaging* ; Humans ; Male ; Middle Aged ; Observer Variation ; Radiography ; Sensitivity and Specificity ; Sternum/diagnostic imaging* ; Sternum/injuries* ; Ultrasonography ; Wounds, Nonpenetrating/diagnostic imaging* ; Young Adult
Keywords
fracture ; sternum ; ultrasonography ; musculoskeletal system ; bones
Abstract
BACKGROUND: The diagnosis of a sternal fracture is often difficult when the fracture site shows only minimal displacement on conventional radiography. Recently, sonography (US) has been used widely in the emergency room (ER). We investigated the diagnostic performance of US in the ER for the diagnosis of sternal fractures. METHOD: Thirty-six consecutive patients examined for pain and tenderness in the sternum after blunt chest trauma were enrolled in the study. Antero-posterior and lateral radiographs and sonograms of the sternum were obtained within 24 hours after admission. The 2 imaging modalities were interpreted in a blinded manner and their diagnostic sensitivity and specificity were calculated. The final diagnosis was based on results from the clinical examination, radiographs, and sonograms. RESULT: Twenty-four of the 36 patients were diagnosed with sternal fractures. The sensitivity and specificity of the plain radiographs were 70.8% (95% CI = 56.0-85.6%) and 75.0% (95% CI = 60.9-89.1%), respectively. In contrast, sonography had a 100% sensitivity and specificity (95% CI = 90.3-100%). CONCLUSION: US has a higher sensitivity and specificity in diagnosing sternal fractures than conventional radiographs. US should be considered in patients with symptoms suggesting sternal fractures whose radiographs remain indeterminate
Full Text
http://onlinelibrary.wiley.com/doi/10.1002/jcu.20669/abstract
DOI
10.1002/jcu.20669
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Emergency Medicine (응급의학교실) > 1. Journal Papers
Yonsei Authors
You, Je Sung(유제성) ORCID logo https://orcid.org/0000-0002-2074-6745
Chung, Sung Pil(정성필) ORCID logo https://orcid.org/0000-0002-3074-011X
Chung, Yong Eun(정용은) ORCID logo https://orcid.org/0000-0003-0811-9578
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/100801
사서에게 알리기
  feedback

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse