Volume 17, Issue 4 (Pajouhan Scientific Journal, Summer 2019)                   psj 2019, 17(4): 32-38 | Back to browse issues page

XML Persian Abstract Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Hakimi Nia M B, Navkhasi S, Zamani Mehr N, Kahrizi N, Rostami M, Aslani M. Evaluation of Diagnostic Value of Clinical Ultrasonography Compared to Radiography in the Diagnosis of Metacarpal Fractures in the Emergency. psj. 2019; 17 (4) :32-38
URL: http://psj.umsha.ac.ir/article-1-520-en.html
1- Emergency Medicine Specialist, Kurdistan University of Medical Science, Kurdistan, Iran
2- Department of Medical Surgical Nursing, Asadabad School of Medical Sciences, Asadabad, Iran
3- Emergency Medicine Specialist, Kurdistan University of Medical Science, Kurdistan, Iran , Nahid_mhzamani@yahoo.com
4- Department of Nursing, Imam Reza Medical Center, Kermanshah University of Medical Sciences, Kermanshah, Iran
5- Department of Intensive Care Nursing, Asadabad School of Medical Sciences, Asadabad, Iran
Abstract:   (984 Views)
Background and Objectives: Metacarpal and finger fractures are the most common upper organ injuries in the emergency. The hand is one of the most important and effective part in this organ. Diagnosis and treatment for these organs are crucial until complete recovery. The aim of this study was to evaluate the diagnostic value of ultrasonography compared to radiography in the diagnosis of metacarpal fractures in the emergency departments of the hospitals Kosar and Bechr('39')sat in Sanandaj during the years 2016-2017.
Materials and Methods: In this cross-sectional study, patients that referred to the emergency with clinical suspicion of metacarpal fracture were evaluated. Clinical, ultrasound, and radiographic findings of the patient were completed by a checklist. Kappa agreement test was used to investigate the relationship between findings of sonographic and radiographicand sensitivity, specificity, positive predictive value, negative predictive value of two methods calculated by using SPSS v.24 software. 
Results: In this study, 73 patients were evaluated, 57 (78.1%) were male and 16 (21.9%) were female. Sensitivity, specificity, positive and negative predictive value related to radiography in diagnosis of metacarpal fractures were 84.2%, 88.5%, 83.5%, and 89.8%, respectively. There was a significant relationship between sonographic and radiographic findings. The kappa value is 0.78 in the direct direction.  
Conclusions: Due to the high sensitivity and specificity of ultrasound in cases with a suspicion of fracture, ultrasound results are faster, cheaper, non-invasive and repeatable in the emergency departmentand Fast ultrasound (FAST) can be performed.
Full-Text [PDF 707 kb]   (147 Downloads)    
Type of Study: Research Article | Subject: Medicine & Clinical Sciences
Received: 2019/08/29 | Accepted: 2019/09/28 | Published: 2019/08/15

1. Aksay E, Kilic TY, Yesailaras M, Tur FC, Sever M, Kalenderer O. Accuracy of bedside ultrasonography for the diagnosis of finger fractures. The American Journal of Emergency Medicine. 2016;34(5):809-12. [DOI]
2. Kocaoglu S, Qzhasenekler A, Icme F, Pamukcu Gunaydin G, Sener A, GokhanA. The role of ultrasonography in the diagnosis of metacarpal fractures. The American Journal of Emergency Medicine. 2016;34(9):1868-71. [DOI]
3. Frazier WH, Miller M, Fox RS, Brand D, Finseth F. Hand injuries: Incidence and epidemiology in an emergency service. Journal of the American College of Emergency Physicians. 1978;7(7):265-8. [DOI]
4. Larsen CF, Mulder S, Johansen AMT, Stam C. The Epidemiology of Hand Injuries in the Netherlands and Denmark. European Journal of Epidemiology. 2004;19(4):323-7. [DOI]
5. Aitken S, Court-Brown CM. The epidemiology of sports-related fractures of the hand. Injury. 2008;39(12):1377-83. [DOI]
6. Farshchian N, Farshchian N, Farshchian F, Najafi F. The diagnostic value of ultrasound in nasal fracture and comparison with simple graphy. journal of Kermanshah university of medical science. 2012;15(3):173-7. [DOI]
7. Cho K-H, Lee Y-H, Lee S-M, Shahid MU, Suh KJ, Choi JH. Sonography of bone and bone-related diseases of the extremities. Journal of Clinical Ultrasound. 2004;32(9):511-21. [DOI]
8. Kozaci N, Ay MO, Akcimen M, Sasmaz I, Turhan G, Boz A. The effectiveness of bedside point-of-care ultrasonography in the diagnosis and management of metacarpal fractures. The American Journal of Emergency Medicine. 2015;33(10):1468-72. [DOI]
9. O'Malley P, Tayal VS. Use of Emergency Musculoskeletal Sonography in Diagnosis of an Open Fracture of the Hand. Journal of Ultrasound in Medicine. 2007;26(5):679-82. [DOI]
10. Tayal VS, Antoniazzi J, Pariyadath M, Norton HJ. Prospective Use of Ultrasound Imaging to Detect Bony Hand Injuries in Adults. Journal of Ultrasound in Medicine. 2007;26(9):1143-8. [DOI]
11. Beltrame V, Stramare R, Rebellato N, Angelini F, Frigo AC, Rubaltelli L. Sonographic evaluation of bone fractures: a reliable alternative in clinical practice? Clinical Imaging. 2012;36(3):203-308. [DOI]
12. Dulchavsky SA, Henry SE, Moed BR, Diebel LN, Marshburn T, Hamilton DR, et al. Advanced Ultrasonic Diagnosis of Extremity Trauma: The FASTER Examination. Journal of Trauma and Acute Care Surgery. 2002;53(1):28-32. [DOI]
13. Kwon BC, Jung K-I, Baek GH. Comparison of Sonography and Electrodiagnostic Testing in the Diagnosis of Carpal Tunnel Syndrome. Journal of Hand Surgery. 2008;33(1):65-71. [DOI]
14. You JS, Chung YE, Kim D, Park S, Chung SP. Role of sonography in the emergency room to diagnose sternal fractures. Journal of Clinical Ultrasound.2010;38(3):135-7. [DOI]
15. Ekþioðlu F, Altýnok D, Uslu M, Güdemez E. Ultrasonographic findings in pediatric fractures. The Turkish Journal of Pediatrics. 2003;45:136-40. [DOI]
16. Joshi N, Lira A, Mehta N, Paladino L, Sinert R. Diagnostic Accuracy of History, Physical Examination, and Bedside Ultrasound for Diagnosis of Extremity Fractures in the Emergency Department: A Systematic Review. Academic Emergency Medicine.2013;20(1):1-15. [DOI]
17. Moritz JD, Berthold LD, Soenksen S, Ferdinand G, Alzen P. Ultrasound in diagnosis of fractures in children: unnecessary harassment or useful addition to X-ray? Ultraschall in Med 2008;29(3):267-74. [DOI]
18. Abi KS, Haddad-Zebouni S, Roukoz S, Smayra T, Kamal H, Menassa-Moussa L, et al. Ultrasound as an adjunct to radiography in minor musculoskeletal pediatric trauma. Le Journal medical libanais The Lebanese medical journal.2011;59(2):70-4. [DOI]
19. Hauger O, Bonnefoy O, Moinard M, Bersani D, Diard Fo. Occult Fractures of the Waist of the Scaphoid. American Journal of Roentgenology. 2002;178(5):1239-45. [DOI]
20. Aksay E, Yesilaras M, Kılıc TY, Tur FCs, Sever M, Kaya A. Sensitivity and specificity of bedside ultrasonography in the diagnosis of fractures of the fifth metacarpal. Emergency Medicine Journal.2015;32(3):221-5. [DOI]
21. Bolandparvaz S, Moharamzadeh P, Jamali K, Pouraghaei M, Fadaie M, Sefidbakht S, et al. Comparing diagnostic accuracy of bedside ultrasound and radiography for bone fracture screening in multiple trauma patients at the ED. The American Journal of Emergency Medicine.2013;31(11):1583-5. [DOI]

Add your comments about this article : Your username or Email:

Send email to the article author

© 2020 All Rights Reserved | Pajouhan Scientific Journal

Designed & Developed by : Yektaweb