Diagnostic value of FAST ankle ultrasound compared to standard radiography for fracture detection in the emergency department by non-radiologist physicians: a monocentric prospective diagnostic cohort study.
{"title":"Diagnostic value of FAST ankle ultrasound compared to standard radiography for fracture detection in the emergency department by non-radiologist physicians: a monocentric prospective diagnostic cohort study.","authors":"Laeticia Vaiana Frezals, Arnaud Delafontaine, Hélène Scoubeau, Régis Sontou, Sofie Moorthamers, Antoine Plumacker, Alain Plumacker","doi":"10.1007/s00068-025-02772-3","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>The goal of this study was to assess the diagnostic value of FAST ankle ultrasound, performed by non-radiologist specialist physicians, compared to standard X-ray imaging for ankle and foot trauma in the emergency department. Additionally, we analyzed whether other variables, such as demographic characteristics of the included patients, could influence fracture detection with the diagnostic tools used.</p><p><strong>Methods: </strong>A non-randomized monocentric prospective diagnostic cohort study was conducted on 143 patients.</p><p><strong>Results: </strong>Ankle and foot fractures were more frequently detected by FAST ultrasound compared to standard radiography. Regarding the influence of demographic factors, age and the correlation between Body Mass Index and age significantly influenced the ability to detect fractures.</p><p><strong>Conclusion: </strong>FAST ultrasound demonstrated good diagnostic value in routine clinical practice for screening purposes and could be easily applied by non-radiologist specialist physicians. Implementing this approach may reduce time and costs in patient management, thereby aiding in alleviating triage congestion in the emergency department. TRIAL REGISTRATION NUMBER AND DATE OF REGISTRATION FOR PROSPECTIVELY REGISTERED TRIALS: NCT05528432; 21-02-21.</p>","PeriodicalId":12064,"journal":{"name":"European Journal of Trauma and Emergency Surgery","volume":"51 1","pages":"107"},"PeriodicalIF":1.9000,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"European Journal of Trauma and Emergency Surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s00068-025-02772-3","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"EMERGENCY MEDICINE","Score":null,"Total":0}
引用次数: 0
Abstract
Purpose: The goal of this study was to assess the diagnostic value of FAST ankle ultrasound, performed by non-radiologist specialist physicians, compared to standard X-ray imaging for ankle and foot trauma in the emergency department. Additionally, we analyzed whether other variables, such as demographic characteristics of the included patients, could influence fracture detection with the diagnostic tools used.
Methods: A non-randomized monocentric prospective diagnostic cohort study was conducted on 143 patients.
Results: Ankle and foot fractures were more frequently detected by FAST ultrasound compared to standard radiography. Regarding the influence of demographic factors, age and the correlation between Body Mass Index and age significantly influenced the ability to detect fractures.
Conclusion: FAST ultrasound demonstrated good diagnostic value in routine clinical practice for screening purposes and could be easily applied by non-radiologist specialist physicians. Implementing this approach may reduce time and costs in patient management, thereby aiding in alleviating triage congestion in the emergency department. TRIAL REGISTRATION NUMBER AND DATE OF REGISTRATION FOR PROSPECTIVELY REGISTERED TRIALS: NCT05528432; 21-02-21.
期刊介绍：
The European Journal of Trauma and Emergency Surgery aims to open an interdisciplinary forum that allows for the scientific exchange between basic and clinical science related to pathophysiology, diagnostics and treatment of traumatized patients. The journal covers all aspects of clinical management, operative treatment and related research of traumatic injuries.
Clinical and experimental papers on issues relevant for the improvement of trauma care are published. Reviews, original articles, short communications and letters allow the appropriate presentation of major and minor topics.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
