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Medline ® Abstract for Reference 59

of 'Emergency ultrasound in adults with abdominal and thoracic trauma'

Comparison of thoracic ultrasound, clinical acumen, and radiography in patients with minor chest injury.
Rainer TH, Griffith JF, Lam E, Lam PK, Metreweli C
J Trauma. 2004;56(6):1211.
BACKGROUND: This study was designed to compare ultrasonography, clinical findings, and radiography in the detection of rib and sternal fractures.
METHODS: In a prospective study, 88 patients presenting consecutively to an emergency department with isolated blunt chest injury of mild to moderate force were recruited.
RESULTS: Ultrasonography yielded a sensitivity of 80.3 (95% confidence interval [CI], 69.5-88.5) for detecting chest wall fractures compared with sensitivities of 26.0 (95% CI, 15.8-36.3) for clinical acumen and 23.7 (95% CI, 14.7-34.8) for radiography.
CONCLUSION: Early ultrasonography is more accurate than clinical and radiologic evaluation at detecting rib and sternal fractures.
Accident and Emergency Medicine Academic Unit, The Chinese University of Hong Kong, Hong Kong. rainer1091@cuhk.edu.hk