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A-0876 Diagnosis of hand and forearm fractures in whole body CT after polytrauma
Friederike Mu?nn 1, Andreas Eisenschenk 1,2, Martin Lautenbach 3, Tobias Topp 3, Simon Kim 1, Universitätsmedizin Greifswald, Germany; 2 Unfallkrankenhaus Berlin, Germany; 3 Krankenhaus Waldfriede Berlin, Germany
Thursday, June 14, 2018 · 8:40 a.m. · 05m 06s
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could good morning ladies times more thank you for this opportunity the purpose of
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my research was to investigate the value of what the computer to mccarthy
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the diagnosis of factors that handful on input from patients
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despite advances in the treatment and diagnosis of that for apollo trauma
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patients the future reveals many missed injuries of the upper extremity
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yeah i'm regarded by many radiologists and emergency physicians mainly as an obstacle
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next the body they may cause artifacts in the abdominal region when trying to win um
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doing the analysis of this region and just can increase the radiation exposure
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however when positioned above had this this time consuming and
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it can be
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due to technical or inter related reasons it's possibly not
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advisable or possible to relocate though the homes
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so we ask ourselves why not use it c. t. to look for injuries of the
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hand before i'm wendy already positioned next to the body and visible and scan field
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for this into level trauma centres we reviewed the charts and diagnostic procedures of
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patient that had a little body c. t. g. g. s. imported from
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and by centres the single pass the t. would be performed with the arms alongside
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the body and the c. t. would always prefer from prior to x. ray
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we chose integrated patient for the study because
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for this late diagnosis on novices because conscious patients might be able to tell pain
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but i have two thousand eight hundred and twenty six patients who received the whole body city two thousand
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three hundred and wonder integrated at the integrated patients ninety nine were in did not have strong history
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so in in the end could include four hundred and twenty six integrated ventilated patients with the troll after drum
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it
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fifteen point five percent of these patients had fractures of the hand will form
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the sixty six patients had a total of one hundred and thirty two directors amongst them
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seventy four percent of these factors were visible i mentioned in the initial c. t. report
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a quarter of these are you diagnose fractures were actually it not with clinical suspicion
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however conclusive specials factors were significantly more often reported
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in the dark in the city report
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we retrospective review c. t. scans of patients related diagnosed with fractures
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of the hand forum and found that out of thirty four fractures twenty one were visible in the initial c. t.
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but there's thirty four fractures
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um the first part and one hour after the c. t.
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eleven factors were diagnosed with by its right and for the seven within the first
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twenty four hours optics were up does the c. t. t. h. x. ray
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taking this as a cot well for nine percent of the hand and one factors were too late
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i'd like to mention that it here
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the latest fractures that word i use those bikes right we're actually visible
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in this for in the initial c. t. worry retrospective review to
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so to conclude in unconscious patients eight seven eighty seven point one
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percent of the factors were found within twenty four hours
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a little body c. t. ever at nineteen point nine percent
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of the faxes could've been detected in the initial scan
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clinical assessment and additional x. ray examinations on the clinical suspicious
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could've increased to detect right up to ninety five percent
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whatever
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um even at regular just might be open but this obvious statement i'd like to stress that
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it included in the examination field hands and forearms should surely be reviewed
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some factors were not fully included and scanned feels
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and that's improving but look at the the placement of the
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hands could for the increase this the detection rate
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we're currently examining the potential and the influence of
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hand positioning unlike like diagnosis and analysing the
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A-0876 Diagnosis of hand and forearm fractures in whole body CT after polytrauma
Friederike Mu?nn 1, Andreas Eisenschenk 1,2, Martin Lautenbach 3, Tobias Topp 3, Simon Kim 1, Universitätsmedizin Greifswald, Germany; 2 Unfallkrankenhaus Berlin, Germany; 3 Krankenhaus Waldfriede Berlin, Germany
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