Repository of Research and Investigative Information

Repository of Research and Investigative Information

Baqiyatallah University of Medical Sciences

Diagnostic value of "bedside ultrasonography" and the "water bath technique" in distal forearm, wrist, and hand bone fractures

(2014) Diagnostic value of "bedside ultrasonography" and the "water bath technique" in distal forearm, wrist, and hand bone fractures. Emerg Radiol. pp. 1-4. ISSN 1070-3004

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Official URL: http://www.ncbi.nlm.nih.gov/pubmed/24105434

Abstract

Bedside ultrasonography (BUS) has been widely used in many emergency evaluations, but the technique was not thoroughly evaluated for use in adult fractures. The water bath technique (WBT) is a modality which overcomes some important limitations of using BUS in extremity fractures. The study aims to evaluate and compare diagnostic values of BUS and WBT. The sensitivity, specificity, positive and negative predictive values (PPV and NPV), positive and negative likelihood ratios (LR+ and LR-), and accuracy of BUS and WBT were calculated and compared by the McNemar chi-square test. BUS had the highest sensitivity, specificity, PPV, and LR+ in the distal forearm. The highest NPV and LR- of BUS were seen in phalangeal and wrist injuries, respectively. The WBT examination had the highest sensitivity in phalangeal injuries and the highest specificity, PPV, and LR+ in the distal forearm. The highest NPV and LR- of the WBT examination were seen in phalangeal and wrist injuries, respectively. The McNemar chi (2) values for the comparison of BUS and WBT indicate that the two techniques provide statistically different results. The ultrasound revealed excellent diagnostic values which make it a favorable alternative in evaluating upper extremity fractures in adults. The WBT provides even better results.

Item Type: Article
Keywords: Adolescent Adult Aged Female Forearm Injuries/*diagnostic imaging Fractures, Bone/*diagnostic imaging Hand Injuries/*diagnostic imaging Humans Male Middle Aged *Point-of-Care Systems Predictive Value of Tests Sensitivity and Specificity Ultrasonography *Water Wrist Injuries/*diagnostic imaging
Divisions:
Page Range: pp. 1-4
Journal or Publication Title: Emerg Radiol
Journal Index: Pubmed
Volume: 21
Number: 1
Identification Number: https://doi.org/10.1007/s10140-013-1161-5
ISSN: 1070-3004
Depositing User: مهندس مهدی شریفی
URI: http://eprints.bmsu.ac.ir/id/eprint/1957

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