A Critical Analysis Of Detection In Bony Fractures Of Conventional Radiography With Ultrasound

Abstract

Background: Fractured bones are frequent injuries. When the continuity of the bone is broken, a surgical condition called a bone fracture results. When the bone breaks due to a significant force, they happen. Injuries are a leading source of mortality and disability around the globe.

Purpose: To compare the accuracy of ultrasonography and conventional radiography in detecting fractures in individuals who have a clinical suspicion of having them.

Methodology: The study was conducted in Central Park Hospital Lahore. Following a conventional radiograph (CR) examination of the patients, real-time ultrasonography was performed utilizing a high-frequency linear transducer in both the longitudinal and transverse planes. To examine the relative effectiveness of radiography and ultrasonography in identifying fractures, the findings from both techniques were compared. Settings and research design: Fifty patients with clinically suspected fractures from any age group and sex who visited our institution's emergency wing, orthopedic outdoor or indoor, and other departments were included in the study.

Results: The research shows that for the identification of long bone fractures, the accuracy, positive predictive value (PPV), negative predictive value (NPV), sensitivity, specificity, and accuracy of the CR versus USG are all 100%. Additionally, the accuracy, NPV, PPV, specificity, and sensitivity of the CR versus USG in the situation of a short bone fracture diagnosis are 66.67%, 33.3%, 100%, 100%, and 60%, respectively. Therefore, in this investigation, the overall accuracy, NPV, PPV, specificity, and sensitivity of CR against USG were 88%, 72.73%, 100%, 100%, and 82.35%, respectively. The accuracy, NPV, PPV, specificity, and sensitivity of the CR versus USG were, however, 60%, 33.3%, 100%, 100%, and 50%, respectively, in the case of flat bones.

Conclusions: It is discovered to be more sensitive than CR in detecting fractures of short and flat bones and comparable in sensitivity to fractures of long bones. USG is a radiation-free, readily accessible, portable, and cost-effective imaging approach for locating fractures that are only superficially placed.