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Pinto A, Berritto D, Russo A, et al. Traumatic fractures in adults: missed diagnosis on plain radiographs in the Emergency Department. Acta Biomed. 2018;89(1):111-123doi: 10.23750/abm.v89i1-S.7015.
Pinto, A., Berritto, D., Russo, A., Riccitiello, F., Caruso, M., Belfiore, M. P., Papapietro, V. R., Carotti, M., Pinto, F., Giovagnoni, A., Romano, L., & Grassi, R. (2018). Traumatic fractures in adults: missed diagnosis on plain radiographs in the Emergency Department. Acta bio-medica : Atenei Parmensis, 89(1), 111-123. https://doi.org/10.23750/abm.v89i1-S.7015
Pinto, Antonio, et al. "Traumatic fractures in adults: missed diagnosis on plain radiographs in the Emergency Department." Acta bio-medica : Atenei Parmensis vol. 89,1 (2018): 111-123. doi: https://doi.org/10.23750/abm.v89i1-S.7015
Pinto A, Berritto D, Russo A, Riccitiello F, Caruso M, Belfiore MP, Papapietro VR, Carotti M, Pinto F, Giovagnoni A, Romano L, Grassi R. Traumatic fractures in adults: missed diagnosis on plain radiographs in the Emergency Department. Acta Biomed. 2018 Jan 19;89(1):111-123. doi: 10.23750/abm.v89i1-S.7015. PMID: 29350641; PMCID: PMC6179080.
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Acta Biomed. 2018 Jan 19;89(1):111-123. doi: 10.23750/abm.v89i1-S.7015.

Traumatic fractures in adults: missed diagnosis on plain radiographs in the Emergency Department.

Acta bio-medica : Atenei Parmensis

Antonio Pinto, Daniela Berritto, Anna Russo, Federica Riccitiello, Martina Caruso, Maria Paola Belfiore, Vito Roberto Papapietro, Marina Carotti, Fabio Pinto, Andrea Giovagnoni, Luigia Romano, Roberto Grassi

PMID: 29350641 PMCID: PMC6179080 DOI: 10.23750/abm.v89i1-S.7015

Abstract

Radiography remains the imaging standard for fracture detection after trauma. The radiographic diagnosis of most fractures and dislocations poses little difficulty to radiologists: however, occasionally these injuries are quite subtle or even impossible to detect on radiographs. Missed diagnoses of fracture potentially have important consequences for patients, clinicians, and radiologists. Radiologists play a pivot role in the diagnostic assessment of the trauma patients: emergency radiologists who are more practiced at seeking out and discerning traumatic fractures can provide an invaluable service to their clinical colleagues by ensuring that patients do not endure delayed diagnoses. This is a narrative review article aims to highlight the spectrum of fractures in adults potentially missed on plain radiographs, the causes of error in diagnosis of fractures in the emergency setting and the key elements to reduce misdiagnosis of fractures.

Keywords: missed diagnosis, diagnostic error, fracture, emergency radiology, conventional radiography

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