FREQUENCY OF BONE FRACTURES DETECTED BY PLAIN RADIOGRAPHY AND KEEPING CT AS GOLD STANDARD

Abstract

Background: The main cause of bone fracture is traffic accidents are (72.2%), falls (11.6%), blunt injuries are (7.7%) and others (5.8^%)). About 84 patients were included in our studies. Out of which 21 (25.0%) were females and 63(75.0%) were males.

Objective: The objective of this study is to evaluate the frequency of bone fractures detected by plain radiography and keeping CT as gold standard.

Methodology: In our cross-sectional study all the patients with fracture undergoing CT and X-Ray were included. Patients with bone surgery were excluded as well as patients who declined to give consent and those who were uncooperative were all excluded. X-ray performed for all the fractures and the complex one sent to CT. The consent form was obtained by patients in this study. We reviewed our data of patients who underwent CT and X-ray. CT (Toshiba 64) was performed from the exact area of fracture and images reconstructed at 3mm and for reporting 5mm for filming. X-ray performed according to the appropriate range of kVp and mAs. All findings of CT were considered by the advice of consultant radiologist. Data was represented with means of standard deviation of frequency and percentage where appropriate. Chi square testing was used to compare CT and X-ray qualitative data. Data was entered into IBM SPSS Statistics 24.0. P-value <0.05 considered the significant.

Results: In our study 84 patients were included. Out of which 21 (25.0%) were females and 63 (75.0%) were males and the standard deviation was 0.436. There causes of fracture were 18(21.4%) injury, 8(9.5%) were compression fractures, 54(64.3%) RTA, 2(2.4%) pathologic fractures and 1(1.2%) was sports injury fracture and the standard deviation was .997.

Conclusion: Our study concluded that the bone fractures are more common in males than females. The most common cause of bone fractures is RTA (Road Traffic Accidents). Study also concludes that most common type of bone fracture is Transverse bone fracture. CT was more efficient in detecting bone fractures than plain radiography because more fractures were detected on CT than plain radiography.

Keywords: Non-enhanced CT, X- ray, Bone fracture, Road Traffic Accidents

DOI: 10.7176/JHMN/93-09

Publication date:September 30^th 2021