Compression Test for Diagnosis of Phalangeal Fracture; a Letter to Editor
学术急诊医学档案,
卷 7 编号 1 (2019),
1 一月 2019
,
第 e51 页
https://doi.org/10.22037/aaem.v7i1.415
摘要
Physical examination is the most important procedure for examining traumatized patients and ruling out possible bone fractures. Edema, deformity, ecchymosis, tenderness on trauma location, and limited bone movement are among the signs of fracture. The diagnosis is documented by plain radiography. The number of false positive cases in this test increase in the presence of soft tissue injury along with bone damage.
In this case, a great number of X-rays will be taken daily and many patients will be exposed to radiation, unnecessarily (1). The question to be fully answered is whether all cases of trauma and pain require radiographs or not?
- phalangeal bone
- Fracture
- compression test
- clinical decision rule
- axial load.
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参考
Wall B, Haylock R, Jansen J, Hillier M, Hart D, Shrimpton P. Radiation risks from medical X-ray examinations as a function of the age and sex of the patient. Health Protection Agency, Centre for Radiation, Chemical and Environmental Hazards Chilton, Didcot Oxfordshire OX11 0RQ ISBN. 2011:978-0.
Esberger D. What value the scaphoid compression test? The Journal of Hand Surgery: British & European Volume. 1994;19(6):748-9.
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