Journal of Emergency Health Care
Formerly known as: International Journal of Medical Investigation
Volume 7, Issue 1 (3-2018)
J Emerg Health Care 2018, 7(1): 23-32 |
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Bozorgi F, Hosseininejad S M, Oraee Nasoti N, Montazar S H, Jahanian F, Shayesteh Azar M et al . Diagnostic value of clinical examinations in confirming fracture of elbow bones. J Emerg Health Care 2018; 7 (1) :23-32
URL: http://intjmi.com/article-1-298-en.html
URL: http://intjmi.com/article-1-298-en.html
Farzad Bozorgi 
, Seyed Mohammad Hosseininejad * , Nazanin Oraee Nasoti , Seyyed Hosein Montazar , Fatemeh Jahanian , Masoud Shayesteh Azar , Alireza Khalilian
, Seyed Mohammad Hosseininejad * , Nazanin Oraee Nasoti , Seyyed Hosein Montazar , Fatemeh Jahanian , Masoud Shayesteh Azar , Alireza Khalilian
Department of Emergency Medicine, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran
Abstract: (8971 Views)
Introduction: Fractures and elbow dislocation are one of the most common injuries at different ages, especially in childhood and younger. Its approach to emergency centers is to perform such tests in a diagnosis of fractures or depression. Due to the high volume of the occurrence of such a disaster and its probable occurrence, especially in age groups and occupations, the study of radio graphics in any joint damage not only entails a high cost to the system of treatment, but also the consequences of radiation exposure to the patient. The purpose of this study was to evaluate the value of diagnosis of extension, supination, ecchymosis, hematoma and local tenderness in elbow injury in patients referred to Imam Khomeini Hospital in Sari.. Methods: This study is a prognosis test that evaluates the clinical findings of physical examination and imaging results in predicting elbow bone fractures in patients aged between 18 and 60 who suffer from blunt trauma referring to the emergency department of Imam Hospital. Initially, the first examinations of the patient's joint wound were assessed by assessing the range of motion including extension, supination, and pronation, as well as the presence of localized tenderness in radial head, ulna and epicondyle hemorrhoids, and examining the presence of ecchymosis and hematoma in the articular region by the expert Emergency medicine is done, the results of the examinations are recorded in the questionnaire form. Then, the standard geometry of the elbow joint is requested and the results are analyzed separately by the two radiologists. After collecting and entering the data, SPSS software version 18 was analyzed. Findings: In this study, 85 patients (74.2%) were male and 36 female patients (29.8%) were referred to the emergency department of Imam Khomeini hospital in Sari, from 121 patients with blunt elbow trauma. The highest frequency was over the age of 50 years (25.6%). The most frequent causes of injuries were pedestrians (57.9%). Extension limitations in the elbow joint were the most frequent among the patients, and the lowest observed sign was also in localized sensitivity in the epicondyle site of the bone arm. The greatest fracture was observed in the radius of the elbow joint, which was seen in 19.8% of the subjects. The least fracture in the proximal bone marrow was observed in 5% of the patients referred. The specificity and sensitivity values for extensions of 49.1 and 69.7 were calculated. Conclusion: We conclude that patients with a recent injury to the elbow who are not able to extend the elbow joint predict with specificity and high sensitivity of the fracture of the elbow bones and also increase the clinical suspicion of the doctor without the use of Para clinic (radiography) In contrast to other examinations, such as hematoma and ecchymosis, there is less diagnostic value to predict the fracture of the elbow joint bones.
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