Evaluation of treatment planning discrepancies: CT versus plain radiographic findings in patients with foot and ankle trauma

Autor: Seyed Hadi Kalantar, Nima Bagheri, Nesa Milan, Sare Moslemi Mehni, Iman Menbari Oskouie, Tina Alinia, Nazanin Rahimdoost
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: BMC Research Notes, Vol 17, Iss 1, Pp 1-7 (2024)
Druh dokumentu: article
ISSN: 1756-0500
DOI: 10.1186/s13104-024-06902-9
Popis: Abstract This study aimed to compare the findings of plain radiography and computed tomography (CT) of foot and ankle in patients submitted to the emergency department with high-energy foot and ankle trauma, to demonstrate if missing fractures on plain radiographs will significantly alter the treatment plan considered for each patient based on the findings of each imaging modality. We retrospectively observed standard radiological foot and ankle x-rays and CT scans in patients who presented to our center from April 2019 to June 2020 with a history of foot and ankle trauma with either loss of consciousness, a history of high-energy trauma, or clinical presentation disproportionate to plain radiographic findings. We investigated the number of fractures of each bone detected on plain radiographs and CT scans and the treatments based on each modality’s findings in patients admitted to our center. Sixty-five out of 163 (39.87%) included in our study had at least one missed fracture on plain radiography that was detected on CT. Thirty-one (19%) patients had normal radiography despite actually having fractures. In 38 (23.31%) patients CT changed the treatment plan decided by our surgeons (P
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