Evidence map›Paper›PMID 39953135›Full record

ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2025

Diagnostic value of FAST ankle ultrasound compared to standard radiography for fracture detection in the emergency department by non-radiologist physicians: a monocentric prospective diagnostic cohort study.

Laeticia Vaiana Frezals, Arnaud Delafontaine, Hélène Scoubeau, Régis Sontou, Sofie Moorthamers, Antoine Plumacker, Alain Plumacker

Registry-linked trialAbstract readComparative Study
PubMed Publisher
In one paragraph

Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05528432 (ANKLE TRAUMA Diagnostic Value of Ultrasound Compared to Standard Radiography in the Detection of Fractures), which is not on this map. Not yet cited in PubMed.

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0cells of the map it votes in
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

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.

NCT05528432 unknown statusnot on this map

ANKLE TRAUMA Diagnostic Value of Ultrasound Compared to Standard Radiography in the Detection of Fractures

TypeobservationalSponsorCentre Hospitalier Universitaire Saint PierreRan2021 to 2022Enrolled150ConditionsFractures Bone
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

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

7 authors.

Laeticia Vaiana FrezalsEmergency Department, Brugmann University Hospital, Place Arthur Van Gehuchten 4, Bruxelles, 1020, Belgique.
Arnaud DelafontaineCIAMS, University Paris-Sud, Université Paris-Saclay, Orsay, 91405, France. arnaud.delafontaine@ulb.be.
Hélène ScoubeauEmergency Department, CHU Saint-Pierre, Rue Haute 322, Bruxelles, 1000, Belgique.
Régis SontouRadiology Department, CHU Saint-Pierre, Rue Haute 322, Bruxelles, 1000, Belgique.
Sofie MoorthamersEmergency Department, Brugmann University Hospital, Place Arthur Van Gehuchten 4, Bruxelles, 1020, Belgique.
Antoine PlumackerTERRA Teaching and Research Centre, Gembloux Agro Bio-Tech, Université de Liège, Passage des Déportés 2, Gembloux, 5030, Belgique.
Alain PlumackerEmergency Department, CHU Saint-Pierre, Rue Haute 322, Bruxelles, 1000, Belgique.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe goal of this study was to assess the diagnostic value of FAST ankle ultrasound, performed by non-radiologist specialist physicians, compared to standard X-ray imaging for ankle and foot trauma in the emergency department. Additionally, we analyzed whether other variables, such as demographic characteristics of the included patients, could influence fracture detection with the diagnostic tools used.

methodsA non-randomized monocentric prospective diagnostic cohort study was conducted on 143 patients.

resultsAnkle and foot fractures were more frequently detected by FAST ultrasound compared to standard radiography. Regarding the influence of demographic factors, age and the correlation between Body Mass Index and age significantly influenced the ability to detect fractures.

conclusionFAST ultrasound demonstrated good diagnostic value in routine clinical practice for screening purposes and could be easily applied by non-radiologist specialist physicians. Implementing this approach may reduce time and costs in patient management, thereby aiding in alleviating triage congestion in the emergency department. TRIAL REGISTRATION NUMBER AND DATE OF REGISTRATION FOR PROSPECTIVELY REGISTERED TRIALS: NCT05528432; 21-02-21.

Indexed as

Ankle FracturesAnkle InjuriesEmergency Service, HospitalFractures, BoneAdultAgedCohort StudiesFemaleHumansMaleMiddle AgedProspective StudiesRadiographyUltrasonographyAnkleDiagnosticEmergency departmentFAST ultrasoundFractureX-ray

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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.