ReviewActa bio-medica : Atenei Parmensis2018
Traumatic fractures in adults: missed diagnosis on plain radiographs in the Emergency Department.
Review in Acta bio-medica : Atenei Parmensis, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 78 papers, 2 of them syntheses that pooled it.
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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.
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Who cites it
78 citing papers in PubMed, 2 syntheses or guidelines pooled it, 118 citations in OpenAlex.
- The diagnostic accuracy of artificial intelligence in detecting foot and ankle fractures: a systematic review and meta-analysis of diagnostic test accuracy.Journal of orthopaedic surgery and research · 2026Pooled it
- Accuracy of junior doctor plain trauma X-ray interpretation: a systematic review and meta-analysis.BMC medical imaging · 2025Pooled it
- Occult fractures of the tibial plateau: 3D augmented X-ray pilot study.Emergency radiology · 2026Article
- Feasibility of AI-Denoised Ultra-Low-Dose CT for Detection of Acute Pelvic and Hip Fractures: A Pilot Multi-Reader Study.Diagnostics (Basel, Switzerland) · 2026Article
- Temporal Reproducibility of Fracture Interpretation in Forensic Radiography: A Multispecialty Comparison of Physicians and Vision Language Models Including Fracture Subtype Description.Tomography (Ann Arbor, Mich.) · 2026Article
- Beyond the pelvic ring: benchmarking multi-bone segmentation for ROI-Guided fracture detection.Scientific reports · 2026Article
- Trochanteric region fracture classification network (TRFC-net): a deep learning solution to increasing inexperienced residents' trochanteric region fracture classification accuracy on X-rays.Quantitative imaging in medicine and surgery · 2026Article
- Independent bone-level diagnostic accuracy study of an AI tool for detecting appendicular skeletal fractures on radiographs.European radiology · 2026Article
- Design and Preliminary Phantom Study of a 3D-Printed Wrist Immobilization Device for Lateral Radiography.Diagnostics (Basel, Switzerland) · 2026Article
- Optimizing CBCT acquisition for detecting non-displaced dentoalveolar fractures: effects of field of view and resolution mode.BMC oral health · 2026Article
- Evaluation of AI developed for rib fracture detection in identifying vertebral fractures on abdominal CT.BMC musculoskeletal disorders · 2026Article
- Effectiveness of a Teaching Session on Interpreting Common Orthopaedic Radiographs at a Major Trauma Centre.Cureus · 2026Article
- Diagnostic performance of artificial intelligence in fracture detection with ultrasound: A systematic review and meta-analysis.The ultrasound journal · 2026Article
- AI-Assisted Fracture Detection in Orthopedic and Trauma Imaging: Where It Works, Where It Fails, and Principles for Safe Clinical Deployment.Diagnostics (Basel, Switzerland) · 2026Review
- Assessing the Reliability of Large Language Models in Detecting Acute Knee Fractures on Radiographs:A Comparative Study.Journal of clinical practice and research · 2026Article
- Artificial intelligence-based diagnosis of non-displaced femoral neck fractures shows excellent sensitivity and specificity and reduces the need for computed tomography scans in emergency rooms.Journal of experimental orthopaedics · 2026Article
- Minimizing Missed Diagnoses of Tibial Plateau Fractures: The Role of AI in Radiographic Evaluation.The Journal of bone and joint surgery. American volume · 2026Article
- Multimodal Large Language Model for Fracture Detection in Emergency Orthopedic Trauma: A Diagnostic Accuracy Study.Diagnostics (Basel, Switzerland) · 2026Article
- Diagnostic Accuracy and Stability of Multimodal Large Language Models for Hand Fracture Detection: A Multi-Run Evaluation on Plain Radiographs.Diagnostics (Basel, Switzerland) · 2026Article
- Ipsilateral concomitant fractures of the distal radius and radial head: a radial Joint-Coupled Pattern (JCP).BMC musculoskeletal disorders · 2026Article
18 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
12 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Radiography remains the imaging standard for fracture detection after trauma. The radiographic diagnosis of most fractures and dislocations poses little difficulty to radiologists: however, occasionally these injuries are quite subtle or even impossible to detect on radiographs. Missed diagnoses of fracture potentially have important consequences for patients, clinicians, and radiologists. Radiologists play a pivot role in the diagnostic assessment of the trauma patients: emergency radiologists who are more practiced at seeking out and discerning traumatic fractures can provide an invaluable service to their clinical colleagues by ensuring that patients do not endure delayed diagnoses. This is a narrative review article aims to highlight the spectrum of fractures in adults potentially missed on plain radiographs, the causes of error in diagnosis of fractures in the emergency setting and the key elements to reduce misdiagnosis of fractures.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.