Evidence map›Paper›PMID 38969914›Full record

ArticleEmergency radiology2024

Challenges in diagnosis of calcaneal fractures: an examination using the WIDI SIM platform.

Dahyun Kang, Abheek Raviprasad, Kevin Pierre, Jay Talati, Thomas Kent, Bayar Batmunh, Linda Lanier, Roberta M Slater, Christopher L Sistrom, Anthony A Mancuso and 2 more

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Article in Emergency radiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Dahyun KangCollege of Medicine, University of Florida, Gainesville, FL, USA.
Abheek RaviprasadDepartment of Radiology, University of Florida College of Medicine, PO Box 100374, Gainesville, FL, 32610, USA. raviprasada@ufl.edu.ORCID http://orcid.org/0000-0002-0429-964X
Kevin PierreDepartment of Radiology, University of Florida College of Medicine, PO Box 100374, Gainesville, FL, 32610, USA.
Jay TalatiCollege of Medicine, University of Florida, Gainesville, FL, USA.
Thomas KentCollege of Medicine, University of Florida, Gainesville, FL, USA.
Bayar BatmunhDepartment of Radiology, University of Florida College of Medicine, PO Box 100374, Gainesville, FL, 32610, USA.
Linda LanierDepartment of Radiology, University of Florida College of Medicine, PO Box 100374, Gainesville, FL, 32610, USA.
Roberta M SlaterDepartment of Radiology, University of Florida College of Medicine, PO Box 100374, Gainesville, FL, 32610, USA.
Christopher L SistromDepartment of Radiology, University of Florida College of Medicine, PO Box 100374, Gainesville, FL, 32610, USA.
Anthony A MancusoDepartment of Radiology, University of Florida College of Medicine, PO Box 100374, Gainesville, FL, 32610, USA.
Ivan DavisDepartment of Radiology, University of Florida College of Medicine, PO Box 100374, Gainesville, FL, 32610, USA.
Dhanashree A RajderkarDepartment of Radiology, University of Florida College of Medicine, PO Box 100374, Gainesville, FL, 32610, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe calcaneus is the most commonly fractured tarsal bone. Diagnosis is often challenging due to subtle radiographic changes and requires timely identification to prevent complications, including subtalar arthritis, neurovascular injury, malunion, osteomyelitis, and compartment syndrome. Treatment varies based on fracture type, with non-surgical methods for non-displaced stress fractures and surgical interventions for displaced or intra-articular fractures.

methodsThis study utilized the Wisdom in Diagnostic Imaging Simulation (WIDI SIM) platform, an emergency imaging simulation designed to assess radiology resident preparedness for independent call. During an 8-hour simulation, residents were tested on 65 cases across various imaging modalities of varying complexity, including normal studies. A single, unique case of calcaneal fracture was included within the simulation in four separate years of testing. Cases were assessed using a standardized grading rubric by subspecialty radiology faculty, with errors subsequently classified by type.

resultsA total of 1279 residents were tested in five separate years on the findings of calcaneal fractures of 5 different patients. Analysis revealed a consistent pattern of missed diagnoses across all training years, primarily attributed to observational errors. There was limited improvement with training progression as all training years exhibited similar average performance levels.

conclusionsCalcaneal fractures pose a diagnostic challenge due to their frequent subtle radiographic findings, especially in stress fractures. Simulation-based evaluations using WIDI SIM highlighted challenges in radiology residents' proficiency in diagnosing calcaneal fractures. Addressing these challenges through targeted education and exposure to diverse cases is essential to improve diagnostic accuracy and reduce complications with calcaneal fractures.

Indexed as

CalcaneusFractures, BoneAdultClinical CompetenceFemaleHumansInternship and ResidencyMaleRadiologySimulation TrainingCalcaneus fractureObservational errorRadiologyResidentsSimulationTraining

Identifiers

PMID38969914

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Registered trials

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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.