ArticleChinese journal of traumatology = Zhonghua chuang shang za zhi2017
Comparison of ultrasonography and radiography in diagnosis of rib fractures.
Article in Chinese journal of traumatology = Zhonghua chuang shang za zhi, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07338617 (Point of Care Ultrasound), which is not on this map. Cited by 12 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Point of Care Ultrasound (POCUS) for Diagnosis and Treatment of Fractures in the Costal Cartilage
Who cites it
12 citing papers in PubMed, 32 citations in OpenAlex.
- Prospective Diagnostic Accuracy and Technical Feasibility of Artificial Intelligence-Assisted Rib Fracture Detection on Chest Radiographs: Observational Study.JMIR medical informatics · 2026Observational
- Performance of thoracic ultrasonography compared with chest radiography for the detection of rib fractures using computed tomography as a reference standard.Skeletal radiology · 2024Article
- Competency in evidence-based medicine and associated factors among medical radiology technologists in Addis Ababa, Ethiopia.Journal of medical radiation sciences · 2024Article
- Multiorgan Point-of-Care Ultrasound Assessment in Critically Ill Adults.Journal of intensive care medicine · 2024Article
- Comparative use of ultrasound and radiography for the detection of fractures: a systematic review and narrative synthesis.Annals of medicine and surgery (2012) · 2023Article
- [Value of artificial intelligence in the improvement of diagnostic consistency of radiology residents].Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences · 2023Article
- Point-of-Care Thoracic Ultrasound in Children: New Advances in Pediatric Emergency Setting.Diagnostics (Basel, Switzerland) · 2023Review
- A retrospective analysis of the incidence of severe adverse events among recipients of chiropractic spinal manipulative therapy.Scientific reports · 2023Article
- Point of Care Ultrasound Identification of Multiple Rib Fractures in a Pediatric Patient with Osteogenesis Imperfecta Type 3.Children (Basel, Switzerland) · 2022Article
- Application of rib surface positioning ruler combined with volumetric CT measurement technique in endoscopic minimally invasive thoracic wall fixation surgery.Experimental and therapeutic medicine · 2020Article
- Ultrasound of bone fractures.Ultrasound (Leeds, England) · 2020Article
- Point-of-care ultrasound in primary care: a systematic review of generalist performed point-of-care ultrasound in unselected populations.The ultrasound journal · 2019Review
Corrections and comments
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Authors and funding
6 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeRib fractures are the most common skeletal thoracic injuries resulting from blunt chest trauma. Half of the rib fractures are not detected upon a precise physical evaluation and radiographs. Recently ultrasonography (USG) has been investigated to detect rib fractures. But based on literature the usefulness of USG varies widely. This study was conducted to investigate the role of USG in the detection of possible rib fractures in comparison with radiography.
methodsIn this cross-sectional study, consecutive patients with minor blunt chest trauma and suspected rib fractures presenting in Imam Reza Hospital located in Mashhad-Iran, between April 2013 and October 2013 were assessed by USG and radiography. The radiography was performed in a posteroanterior (PA) chest projection and oblique rib view centered over the area of trauma. The time duration spent in taking USG and radiography were recorded. The prevalence and location of fractures revealed by USG and radiography were compared.
resultsSixty-one suspected patients were assessed. The male to female ratio was 2.4:1 (43 men and 18 women) with a mean ± SD age of (44.3 ± 19.7) years. There were totally 59 rib fractures in 38 (62.3%) patients based on radiography and USG, while 23 (37.7%) patients had no diagnostic evidence of rib lesions. USG revealed 58 rib fractures in 33 (54.1%) of 61 suspected patients and radiographs revealed 32 rib fractures in 20 (32.8%) of 61 patients. A total of 58 (98.3%) rib fractures were detected by USG, whereas oblique rib view and PA chest radiography showed 27 (45.8%) and 24 (40.7%) rib fractures, respectively. The average duration of USG was (12 ± 3) min (range 7-17 min), whereas the duration of radiography was (27 ± 6) min (range 15-37 min). The kappa coefficient showed a low level of agreement between both USG and PA chest radiography (kappa coefficient = 0.28), and between USG and oblique rib view (kappa coefficient = 0.32).
conclusionUSG discloses more fractures than radiography in most patients presenting with suspected rib fractures. Moreover USG requires significantly less time than radiography.
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