Use of percussion as a screening tool in the diagnosis of occult hip fractures.
Traumatic hip pain is a common clinical problem in the emergency department. There is significant morbidity in discharging a patient with an undiagnosed undisplaced hip fracture. The auscultatory percussion technique is a useful method to risk stratify patients who present with traumatic hip pain and with normal radiographs. We sought to study the sensitivity and specificity of the auscultatory percussion technique in a prospective study.
Tiru
Mohan
M
Accident & Emergency Department, Changi General Hospital, 2 Simei Street 3, Singapore 529889. Mohan_Tiru@cgh.com.sg
Goh
S H
SH
Low
B Y
BY
D000368:Aged; D000369:Aged, 80 and over; D001314:Auscultation / Q000379:methods*; D016001:Confidence Intervals; D005260:Female; D006620:Hip Fractures / Q000175:diagnosis* / Q000000981:diagnostic imaging; D006801:Humans; D015601:Injury Severity Score; D008297:Male; D008875:Middle Aged; D010474:Percussion / Q000379:methods*; D010808:Physical Examination / Q000379:methods; D011237:Predictive Value of Tests; D011446:Prospective Studies; D012016:Reference Values; D012494:Sampling Studies; D012680:Sensitivity and Specificity; D012846:Singapore; D016037:Single-Blind Method; D014057:Tomography, X-Ray Computed / Q000379:methods