Radiographic pitfalls in lower extremity trauma

AJR Am J Roentgenol. 2014 Sep;203(3):492-500. doi: 10.2214/AJR.14.12626.

Abstract

Objective: Radiography remains the imaging standard for fracture detection after trauma. However, fractures continue to be the most common type of missed injuries. In this article, we describe common radiographic pitfalls in lower extremity trauma and describe strategies for dealing with them.

Conclusion: Pitfalls include insufficient views, improperly positioned or technically imperfect radiographs, nondisplaced fractures, commonly missed locations, small avulsions portending large injury, sesamoid injuries, satisfaction of search, incomplete or faulty reasoning, and periprosthetic fractures.

Keywords: fracture; lower extremity; pitfalls; radiography.

Publication types

  • Review

MeSH terms

  • Adult
  • Aged
  • Diagnostic Errors / prevention & control*
  • Female
  • Fractures, Bone / diagnostic imaging*
  • Humans
  • Leg Injuries / diagnostic imaging*
  • Male
  • Middle Aged
  • Patient Positioning / methods*
  • Radiographic Image Enhancement / methods*