The radiographs and clinical records of 128 patients with joint trauma and radiographic evidence of intraarticular fluid but no visible fracture were reviewed. The patients were divided into two groups: 63 with follow-up films and 65 with no follow-up films. Clinically, the latter group had less serious injuries and generally were instructed not to return unless symptoms worsened abruptly or if pain persisted for longer than 1 week. The group with follow-up films consisted of those patients with more serious injuries, and mandatory repeat radiographs were obtained 10-14 days after initial injury. Findings suggest that if a fracture was not seen on the first study, chances of its being present and missed in the ankle and elbow were small (7% and 15%) but were high (67%) in the wrist.
ASJC Scopus subject areas
- Radiology Nuclear Medicine and imaging