Er Erhan, Kara Pınar H, Oyar Orhan, Ünlüer Erden E
Department of Emergency Medicine, İzmir Katip Çelebi University Atatürk Research and Training Hospital, İzmir, Turkey.
Ulus Travma Acil Cerrahi Derg. 2013 Jan;19(1):25-8. doi: 10.5505/tjtes.2013.08555.
The purpose of the study was to analyze the accuracy of interpretation of extremity traumas by emergency physicians (EP) to determine the most difficult areas for interpretation in comparison to official radiology reports of direct X-ray.
Radiologist reports and EP reports of direct X-rays from isolated extremity trauma patients were retrospectively compared from 01.05.2011 to 31.05.2011. A total of 181 fractures in 608 cases were confirmed.
The locations of the misinterpreted fractures were ankle and foot (51.4%), wrist and hand (32.4%), elbow and forearm (5.4%), shoulder and upper arm (5.4%), hip and thigh (2.7%), and knee and leg (2.7%). The diagnostic accuracy of the EPs and radiologists were not significantly different (kappa=0.856, p=0.001).
Knowledge about the types of fractures that are most commonly missed facilitates a specifically directed educational effort.
本研究的目的是分析急诊医生（EP）对四肢创伤的解读准确性，以便与直接X线的官方放射学报告相比，确定最难解读的部位。
回顾性比较了2011年5月1日至2011年5月31日期间孤立性四肢创伤患者的直接X线放射科医生报告和急诊医生报告。608例病例中共确诊181处骨折。
误判骨折的部位为踝和足（51.4%）、腕和手（32.4%）、肘和前臂（5.4%）、肩和上臂（5.4%）、髋和大腿（2.7%）、膝和小腿（2.7%）。急诊医生和放射科医生的诊断准确性无显著差异（kappa=0.856，p=0.001）。
了解最常漏诊的骨折类型有助于进行有针对性的教育工作。
