Emergency، جلد ۱، شماره ۱، صفحات ۷-۱۰
عنوان فارسی
چکیده فارسی مقاله
کلیدواژه‌های فارسی مقاله
عنوان انگلیسی Accuracy of Ultrasonography in Confirmation of Adequate Reduction of Distal Radius Fractures
چکیده انگلیسی مقاله Introduction: Restoration of normal anatomic alignment is a key component of the treatment of distal radius fractures (DRF). This study aimed to evaluate the accuracy of ultrasonography (US) in determining the adequacy of closed reduction in these fractures. Methods : DRF patients admitted to the emergency department of Al-Zahra Hospital, Isfahan, Iran from September 2011 to 2012, were enrolled. After closed reduction, the adequacy was investigated through both US and control plain radiography. Then, sensitivity, specificity, positive and negative predicative values of US in confirmation of closed reduction was evaluated. Also inter-rater agreement between the two diagnostic tools was analyzed by calculating Cohen’s kappa coefficient. Results: Finally, 154 patients were evaluated (females: 53.9%) with mean age of 40.03±14.7 (range: 22-73). US had sensitivity, specificity, positive and negative predictive value of 99.3% (95%CI: 96.2-99.9), 100.0% (95%CI: 62.9-100.0), 100.0% (95%CI: 97.5-100.0), and 88.9% (95%CI: 51.7-98.1) in confirmation of the adequate reduction, respectively. In addition, inter-rater reliability was 0.94 (95%CI: 0.89-0.99; p< 0.0001). Conclusion : It seems that US could be considered as a highly sensitive, accurate, easy to use, noninvasive and safe tool for guidance and confirming of closed reduction in DRF.
کلیدواژه‌های انگلیسی مقاله Radius fractures,closed fractures,reduction,ultrasonography
نویسندگان مقاله مهرداد اسماعیلیان | mehrdad esmailian
department of emergency medicine, isfahan university of medical sciences, isfahan, iran

سازمان اصلی تایید شده: دانشگاه علوم پزشکی اصفهان (Isfahan university of medical sciences)

احسان حاج زرگرباشی | ehsan haj zargarbashi
department of emergency medicine, isfahan university of medical sciences, isfahan, iran

سازمان اصلی تایید شده: دانشگاه علوم پزشکی اصفهان (Isfahan university of medical sciences)

بابک معصومی | babak masoumi
department of emergency medicine, isfahan university of medical sciences, isfahan, iran

سازمان اصلی تایید شده: دانشگاه علوم پزشکی اصفهان (Isfahan university of medical sciences)

مهدی کرمی | mehdi karami
department of radiology, isfahan university of medical sciences, isfahan, iran

سازمان اصلی تایید شده: دانشگاه علوم پزشکی اصفهان (Isfahan university of medical sciences)

نشانی اینترنتی http://journals.sbmu.ac.ir/emergency/article/view/5274
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زبان مقاله منتشر شده en
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نوع مقاله منتشر شده Original/Research Article
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