Effectiveness of Ultrasonography in Detecting Metacarpal Fractures at Al-Nafees Medical Hospital, Islamabad: A Cross-Sectional Study
Abstract
Objective: To compare the effectiveness of ultrasound and direct radiography on the detection andmanagement of metacarpal fractures.Study Design: A cross-sectional Study.Place and Duration of Study: This study was conducted at the Department of Emergency, Al-Nafees MedicalHospital, Islamabad, Pakistan from August 2022 to August 2023.Methods: The study was conducted on 60 patients suspected of metacarpal fracture. All patients underwentpoint-of-care ultrasonography and direct radiography. Data, including swelling, point tenderness, crepitus,ecchymosis, deformity, neurovascular injury, or range of motion, was recorded.Results: The results showed that direct radiograph detected fractures in 32 (53.3%) patients, while point-ofcareultrasonography detected fractures in 34 (56.6%) patients. Compared to direct radiograph, the sensitivity,specificity, positive predictive value, and negative predictive value of point of care ultrasonography for fracturedetection were 92%, 87%, 89% and 90% respectively. point-of-care ultrasonography detected all adjacent bonefractures. The 5th metacarpal neck was the most common site of fracture. Compared to direct radiograph, thesensitivity, specificity, positive predictive value, and negative predictive value of point of care ultrasonographyfor fracture localization were 92%, 87%, 89% and 89% respectively. With point-of-care ultrasonography,angulation was detected in 41 (68.3%) patients and step-off in 14 (24%) patients. With direct…
How strong is the evidence?
Evidence Hub reads this as a cross-sectional. Its evidence level is 4 of 5 (Low · observational). Observational designs can show an association but not prove cause. Reported size: 60 participants or records.
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