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Medline ® Abstract for Reference 59

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

59
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Comparison of thoracic ultrasound, clinical acumen, and radiography in patients with minor chest injury.
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Rainer TH, Griffith JF, Lam E, Lam PK, Metreweli C
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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.
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Accident and Emergency Medicine Academic Unit, The Chinese University of Hong Kong, Hong Kong. rainer1091@cuhk.edu.hk
PMID