SonoSim
(855) 873-7666 Login
en English
enعربى zh-CN 中文 cs Czech de Deutsche en English es Español ru Français it Italiano ja 日本語 pl Polskie pt Português ru Русский
  • Home
  • Store
  • Our Solution
    • Our Ultrasound Training
    • The SonoSimulator®
    • Comparison Guide
    • Content Choices
    • Learning Benefits
  • Who We Train
  • For Groups
    • Group Ultrasound Training
    • SonoSim LiveScan®
    • SonoSim LiveScan CaseBuilder Feature
    • Performance Tracker
  • Company
    • About Us
    • Careers
    • Blog
    • International
    • Our Partners
  • Our Clients
    • Client List
    • Case Studies
    • Testimonials
  • Support
  • Contact
  • Languages
    • en English
      enعربى zh-CN 中文 cs Czech de Deutsche en English es Español ru Français it Italiano ja 日本語 pl Polskie pt Português ru Русский

The Accuracy of Bedside Ultrasonography as a Diagnostic Tool for the Fifth Metatarsal Fractures

Posted in: Emergency Medicine, Foot, Point-of-Care|September 23, 2014
Share Button

foot and ankle US to evaluate for fracture” title=SONOSIM SUMMARY: In this prospective study, injuries of the foot that demonstrated fifth metatarsal tenderness were imaged with both ultrasound and plain radiographs in an attempt to gauge the accuracy of ultrasound for the detection of fifth metatarsal fractures. Ultrasound ultimately exhibited a high sensitivity and specificity for fifth metatarsal fractures in comparison plain radiographs, indicating that ultrasound is a reliable modality for making this diagnosis.

Yesilaras M, Ersin A, Atilla OD, et al. The accuracy of bedside ultrasonography as a diagnostic tool for the fifth metatarsal fractures. Am J Emerg Med. 2014 Feb; 32(2):171-4.

Abstract

Objectives

Musculoskeletal ultrasonography is a technique that is becoming more popular in diagnosing injuries of emergency department (ED) patients especially for the diagnosis of fractures. In this study, we determined the reliability of ultrasonography for the diagnosis of fractures of the fifth metatarsal.

Methods

This is a prospective blind study. Patients over 14 years old who were admitted to the ED with acute foot injury and who had tenderness on the fifth metatarsal were consecutively enrolled into the study. A bedside ultrasonography exam was performed by an emergency physician, and antero-posterior and oblique views were obtained. X-rays were blindly evaluated by an orthopedic surgeon and were considered to be the gold-standard for diagnosing fractures. In patients with noncomminuted fractures, bone displacement was measured by both radiologically and sonographically.

Results

Eighty-four patients were included in this study. Their mean age was 36.0, and 42.9% were male. Fractures were diagnosed by both x-ray and ultrasonography in 33 patients. In one patient, the x-ray was positive for fracture, while ultrasonography yielded a negative result. For the fractures of fifth metatarsal, the diagnostic sensitivity of ultrasonography was 97.1%, the specificity was 100%, the positive likelihood ratio was infinity, the negative likelihood ratio was 0.03. Mean displacement was 1.2 ± 0.7 mm with x-ray and 1.8 ± 1.5 mm with ultrasonography. The intraclass correlation coefficient of displacement measured by x-ray and ultrasonography was κ: 0.388.

Conclusions

Ultrasonography is a reliable diagnostic tool for acute fifth metatarsal fractures.

To read the complete article, visit The American Journal Of Emergency Medicine website by clicking here.

SonoSim Keywords: Ultrasound, MSK, Foot, Emergency Medicine

February 14, 2017 System Administrator

SonoSim Blog

  • Blog
    • Announcements
      • Trade Shows
    • COVID-19
    • International
      • International Partners
    • Newsletter
      • Newsletter 2014
      • Newsletter 2015
      • Newsletter 2016
      • Newsletter 2017
      • Newsletter 2018
      • Newsletter 2019
      • Newsletter 2020
    • SonoSim Case Studies
    • Ultrasound Literature
      • Clinical Studies
        • Cardiology Clinical Studies
        • Emergency Medicine Clinical Studies
        • Gynecology
        • Musculoskeletal
          • Ankle
          • Foot
          • Knee
          • Shoulder
          • Spine
          • Thigh
          • Wrist
        • OB/GYN – Clinical Studies
        • Ophthalmology
        • Point-of-Care
          • Pediatrics
        • Procedures
          • Arthrocentesis
          • FAST and E-FAST
          • Lumbar Puncture
          • Nerve Block
          • Reduction
          • RUSH Protocol Procedures
          • Vascular Access
        • Sports Medicine
        • Vascular
          • Inferior Vena Cava
      • Education & Policy
        • Emergency Medicine
        • Medical School
        • OB/GYN
        • Pediatric Emergency Medicine
        • Prehospital Care
      • Hospital & Group Practice
        • Patient Satisfaction
    • Ultrasound Video Challenge
      • Abdomen
      • Airway
      • Aorta/IVC
      • Bladder
      • Breast
      • Cardiology
      • FAST Scan
      • Genitourinary
      • Intestinal/Biliary
      • Musculoskeletal Ultrasound Video Challenge
      • OB/GYN – Ultrasound Video Challenge
      • Ocular
      • Pulmonary
      • Renal
      • RUSH Protocol
      • Soft Tissue
      • Vascular Ultrasound Video Challenge
  • Conferences
  • In the Press
    • Press Coverage
    • Press Releases
  • Information Archive
  • Newsletter Articles
  • SonoSim Partners
  • Testimonials Archive
  • Ultrasound Review

Learn More About the SonoSim Ultrasound Training Solution

    Contact Us  
×

Product Inquiry and General Contact

Please complete this form and a representative will be in touch with you shortly.


* Denotes a required field.

Create a Support Ticket

Complete the form to receive technical assistance. For a personal session to overview product features, please write "Product Overview" as the subject.


* Denotes a required field.

UPID Tag The UPID is a four or five digit number that can be found on a small black tag attached to the cord of your SonoSim® Probe.


Previous Article The Accuracy of Point-of-Care Ultrasound to Diagnose Long Bone Fractures in the ED Monday, September 22, 2014
Next Article Procedures Can Be Learned on the Web: A Randomized Study of Ultrasound-guided Vascular Access Training Wednesday, October 1, 2014
SonoSim LogoSonoSim LogoTagline
The Easiest Way to Learn & Teach UltrasonographyTM
Social Media
  • Facebook
  • Twitter
  • LinkedIn
  • YouTube
  • Instagram
Join the community for exclusive ultrasound tips and more!
Subscribe
X

Sign Up for the SonoSim Newsletter

Receive ultrasound tips, product updates, industry news, and more!

Ultrasound Courses

  • Echocardiography Training
  • Emergency Ultrasound Training
  • Musculoskeletal Ultrasound Training
  • OBGYN Ultrasound Training
  • POCUS Ultrasound Training
  • Ultrasound-Guided Procedures

Group Programs

  • Physician Groups & Residency Programs
  • Medical Schools
  • Simulation Centers
  • DMS Programs
  • Physician Associate Programs
  • Nursing Schools

Legal

  • Patents
  • Privacy
  • End User Agreement
  • Terms of Service
  • ar عربى
  • de Deutsche
  • en English
  • es Español
  • en Français
  • it Italiano
  • ru Русский
Copyright © SonoSim, Inc. All Rights Reserved. View Patents
We use cookies to enhance site navigation, analyze site usage, assist in marketing efforts, and improve our members’ experiences. Visit our Privacy Policy for more information.

Need Help?

Click here to chat!

1