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Easily missed fractures.

H O Riddervold1

  • 1Department of Radiology, University of Virginia Health Sciences Center, Charlottesville.

Radiologic Clinics of North America
|March 1, 1992
PubMed
Summary

This review highlights commonly overlooked fractures, focusing on spinal injuries but also covering chest, upper extremity, pelvis, and lower extremity fractures. Radiographs illustrate these easily missed bone breaks.

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Area of Science:

  • Radiology
  • Orthopedic Surgery
  • Emergency Medicine

Background:

  • Fractures are common injuries, but some are easily missed on initial evaluation.
  • Missed fractures can lead to delayed diagnosis, complications, and long-term morbidity.
  • Spinal, chest, upper extremity, pelvic, and lower extremity fractures are discussed.

Purpose of the Study:

  • To review commonly missed fractures across various skeletal regions.
  • To emphasize the importance of recognizing subtle fracture patterns.
  • To provide illustrative examples for diagnostic aid.

Main Methods:

  • Review of clinical cases and radiographic findings.
  • Focus on fractures that are frequently overlooked in emergency and orthopedic settings.
  • Inclusion of illustrative radiographs to demonstrate key features.

Main Results:

  • Spinal fractures are a predominant focus among easily missed injuries.
  • Fractures of the chest wall, upper extremity, pelvis, and lower extremity are also significant.
  • Radiographic examples highlight diagnostic challenges and key imaging findings.

Conclusions:

  • Vigilance is required to detect subtle and easily missed fractures.
  • Familiarity with common missed fracture patterns aids diagnosis.
  • Radiographic interpretation is critical for timely and accurate fracture identification.

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