See the published version of this article at BMC Musculoskeletal Disorders.
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Research article
Detection of fractures of hand and forearm in whole-body CT for suspected polytrauma in intubated patients
Simon Kim
Klinik für Unfallchirurgie Greifswald
Corresponding Author
ORCiD: https://orcid.org/0000-0002-7455-7421
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This work is licensed under a CC BY 4.0 License. Read Full License
View the published version at BMC Musculoskeletal Disorders.
Background: The aim of this study was to evaluate the potential of whole-body CT for diagnosis of hand and forearm fractures in intubated patients with suspected polytrauma. Methods: We performed a retrospective analysis on data collected from two trauma centres in Germany, including demographics, ISS, clinical symptoms, depiction in whole-body CT, and time to diagnosis. Results: Out of 426 patients included in the study, 66 (15.5%) suffered a hand or forearm fracture. The total number of fractures was 132. The WBCT report mentioned 98 (74.2 %). 16 (12,1 %) fractures of 12 patients were diagnosed later than 24 hrs after admission. Late diagnoses of fractures of the hand occurred more often if the hand was not fully included in the CT scan field. The sensitivity of WBCT for cases with fractures of hand and/or forearm with full inclusion of the corresponding area in the scan field was 80.2 %. Conclusions: This study shows that WBCT is a valuable diagnostic tool for hand fractures in polytrauma patients. Hands should be evaluated regardless of clinical presentation in intubated patients after suspected polytrauma if they are included in the whole-body CT.
Keywords
polytrauma, fracture, sensitivity, hand, missed, delayed, late, diagnosis
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This preprint is under consideration at BMC Musculoskeletal Disorders. A preprint is a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research article
Detection of fractures of hand and forearm in whole-body CT for suspected polytrauma in intubated patients
Simon Kim
Klinik für Unfallchirurgie Greifswald
Corresponding Author
ORCiD: https://orcid.org/0000-0002-7455-7421
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Published
Version 1
Posted 17 Jan, 2020
Published
On 22 Jan, 2020
No community comments so far
Submission checks complete
On 15 Jan, 2020
Editorial decision: Accept
On 15 Jan, 2020
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Orthopedics
License:
This work is licensed under a CC BY 4.0 License. Read Full License
View the published version at BMC Musculoskeletal Disorders.
Background: The aim of this study was to evaluate the potential of whole-body CT for diagnosis of hand and forearm fractures in intubated patients with suspected polytrauma. Methods: We performed a retrospective analysis on data collected from two trauma centres in Germany, including demographics, ISS, clinical symptoms, depiction in whole-body CT, and time to diagnosis. Results: Out of 426 patients included in the study, 66 (15.5%) suffered a hand or forearm fracture. The total number of fractures was 132. The WBCT report mentioned 98 (74.2 %). 16 (12,1 %) fractures of 12 patients were diagnosed later than 24 hrs after admission. Late diagnoses of fractures of the hand occurred more often if the hand was not fully included in the CT scan field. The sensitivity of WBCT for cases with fractures of hand and/or forearm with full inclusion of the corresponding area in the scan field was 80.2 %. Conclusions: This study shows that WBCT is a valuable diagnostic tool for hand fractures in polytrauma patients. Hands should be evaluated regardless of clinical presentation in intubated patients after suspected polytrauma if they are included in the whole-body CT.
Figure 1