Journal of Osteoporosis and Physical Activity
Open Access
ISSN: 2329-9509
+44 1478 350008
ISSN: 2329-9509
+44 1478 350008
Philipp Birk
Germany
Research Article
Conventional A.P.-Radiographs are not reliable in Detecting Acetabular and Proximal Femur Fractures in the Elderly
Author(s): Andreas Schicho, Philipp Birk, Kevin Seeber, Peter H. Richter and Florian GebhardAndreas Schicho, Philipp Birk, Kevin Seeber, Peter H. Richter and Florian Gebhard
Blunt pelvic traumata are common injuries especially among elderly patients. It is well known, that standard x-ray diagnostics fail to detect all fractures. We set up a retrospective study to gain profound knowledge of the actual informative value of a single, plain a.p. pelvic radiograph in these injuries for detecting acetabular and proximal femoral fractures as a standardized starting point in the radiologic work-up. We analysed the radiological reports, all validated by a board certified radiologist, for patients aged 75 years and older who had a blunt pelvic trauma and had both a standard a.p. pelvic x-ray and pelvic CT scan in the emergency department over a 3-year period. In 233 patients aged 75 years and older, we found 35 acetabular fractures. The calculated specificity of the plain x-ray was high (97.3%), but sensitivity was rather low (66.6%). The positive and negative pred.. View More»
DOI:
10.4172/2329-9509.1000142