Determination of radiography requirement in wrist trauma

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dc.contributor.authorTurkmen, Suha
dc.contributor.authorCansu, Aysegul
dc.contributor.authorKaraca, Yunus
dc.contributor.authorBaki, Mehmet Emre
dc.contributor.authorEroglu, Oguz
dc.contributor.authorTatli, Ozgur
dc.contributor.authorTuredi, Suleyman
dc.date.accessioned2020-06-25T18:12:58Z
dc.date.available2020-06-25T18:12:58Z
dc.date.issued2015
dc.departmentKırıkkale Üniversitesi
dc.descriptionTatli, Ozgur/0000-0003-0263-7630; Turedi, Suleyman/0000-0002-6500-3961
dc.description.abstractObjectives: The purpose of this study was to evaluate predetermined physical examination and function tests recommended to identify severe injury among patients presenting with wrist injury to the emergency department and to establish a reliable clinical decision rule capable of determining the need for radiography in wrist injuries. Materials and methods: This was a multicenter prospective derivation study of wrist injuries. All patients were assessed in terms of mechanism of trauma, inspection findings, heart rate, sensitivity at palpation, presence of pain with active movement, grasp strength, and functional tests using an examination form under main headings. Sensitivity, specificity, and positive and negative predictive values were expressed for each sign and each examination finding. Results: One hundred nineteen adult patients were enrolled during the 6-month study period. Fracture was identified in 24.3% (n = 29). Presence of pain on the radial deviation, dorsal flexion, distal radioulnar drawer, and axial compression tests exhibited high sensitivity (82.8%, 89.7%, 82.8%, and 86.2%, respectively) and high negative predictive values (88.6%, 81.3%, 87.5%, and 93.6%, respectively) for wrist fracture. Sensitivity of 96.6% was observed when these 4 tests were evaluated together. Conclusions: The presence of one of these examination findings increases the likelihood of fracture and is adequate to recommend wrist radiography. In addition, there is a strong possibility of radiography being unnecessary if all 4 test results are negative in patients presenting with wrist injury, potentially preventing many nonessential radiographs being performed. (C) 2015 Elsevier Inc. All rights reserved.en_US
dc.identifier.citationclosedAccessen_US
dc.identifier.doi10.1016/j.ajem.2015.06.011
dc.identifier.endpage1272en_US
dc.identifier.issn0735-6757
dc.identifier.issn1532-8171
dc.identifier.issue9en_US
dc.identifier.pmid26113244
dc.identifier.scopus2-s2.0-84941167824
dc.identifier.scopusqualityQ1
dc.identifier.startpage1269en_US
dc.identifier.urihttps://doi.org/10.1016/j.ajem.2015.06.011
dc.identifier.urihttps://hdl.handle.net/20.500.12587/6089
dc.identifier.volume33en_US
dc.identifier.wosWOS:000360920700033
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherW B Saunders Co-Elsevier Incen_US
dc.relation.ispartofAmerican Journal Of Emergency Medicine
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.titleDetermination of radiography requirement in wrist traumaen_US
dc.typeArticle

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