ArticleBMC musculoskeletal disorders2019
Missed foot fractures in multiple trauma patients.
Article in BMC musculoskeletal disorders, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 26 citations in OpenAlex.
- Treatment Options in Managing Infections Following Calcaneal Fractures: A Systematic Review.Life (Basel, Switzerland) · 2026Review
- Epidemiology, Complications, and Surgical Outcomes of Calcaneal Fractures: A Retrospective Single-Center Study in 202 Patients.Advances in orthopedics · 2026Article
- FracFusionNet: A Multi-Level Feature Fusion Convolutional Network for Bone Fracture Detection in Radiographic Images.Diagnostics (Basel, Switzerland) · 2025Article
- Detecting Fifth Metatarsal Fractures on Radiographs Through the Lens of Smartphones: The FIXUS AI Algorithm.Cureus · 2025Article
- Artificial intelligence in the interpretation of upper extremity trauma radiographs: a systematic review and meta-analysis.JSES reviews, reports, and techniques · 2025Review
- Influencing factors for delayed diagnosed injuries in multiple trauma patients - introducing the 'Risk for Delayed Diagnoses Score' (RIDD-Score).European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- Evaluation of treatment planning discrepancies: CT versus plain radiographic findings in patients with foot and ankle trauma.BMC research notes · 2024Article
- Analysis of Missed Skeletal Injuries Detected Using Whole-Body Bone Scan Applied to Trauma Patients: A Case-Control Study.Diagnostics (Basel, Switzerland) · 2023Article
- Prevalence of Missed Injuries in Multiple Trauma Patients at a Level-1 Trauma Center in Saudi Arabia.Cureus · 2023Article
- Foot fractures and complex trauma of the foot: a case series.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2021Article
- Motor Vehicle Accident during Pregnancy with Two Lifes at Risk: A Case Report.Journal of orthopaedic case reports · 2021Article
- Acromioclavicular and sternoclavicular joint dislocations indicate severe concomitant thoracic and upper extremity injuries in severely injured patients.Scientific reports · 2020Article
- HALLUX PROXIMAL PHALANX FRACTURE IN ADULTS: AN OVERLOOKED DIAGNOSIS.Acta ortopedica brasileiraReview
Corrections and comments
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Authors and funding
8 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMissed or underestimated injuries are one of the central problems in trauma care. Foot injuries can easily be missed because they lay beyond the regularly screened field of a trauma computer tomography scan (CT scan). During primary and secondary survey a careful examination of the extremities often becomes of secondary interest in the severely injured patient.
methodsThirty-four thousand ninety-one multiple trauma patients of the TraumaRegister DGU® were evaluated from 2002 to 2014. We differentiated between patients with foot injuries, patients with missed foot injuries and patients without foot injuries. Included were ankle fractures, calcaneus fractures, talus fractures, metatarsal fractures, toe fractures, amputation, soft tissue injuries and/or ligamentous injuries.
resultsSummarized evaluation of 34,091 trauma patients showed a share of 2532 patients with foot injuries. Time of diagnosis was documented in 2199 cases. 2055 patients had early diagnosed foot injuries and 144 patients had initially missed foot injuries. Missed foot injuries were especially found in patients with car accidents or fall from ≥3 m. Patients with higher Abbreviated Injury Scale (AIS) or lower Glasgow Coma Scale (GCS) were not significantly more affected by missed foot injuries. Missing foot injuries was also not caused by injury severity or higher age.
conclusionsOur data highlights the need of careful evaluation of the feet during primary and secondary survey particularly when a tibia or femur fracture is diagnosed. Special attention should be turned to patients after car accidents or fall from great height. Suicide victims also need major attention. Patients with early operations also need careful examination and tertiary survey is highly recommended.
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