The use of a tuning fork and stethoscope to identify fractures
Deutscher übersetzter Titel: | Die Verwendung einer Stimmgabel und eines Stethoskops zur Erkennung von Frakturen |
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Autor: | Moore, Michael Bryan |
Erschienen in: | Journal of athletic training |
Veröffentlicht: | 44 (2009), 3, S. 272-274, Lit. |
Format: | Literatur (SPOLIT) |
Publikationstyp: | Zeitschriftenartikel |
Medienart: | Elektronische Ressource (online) Gedruckte Ressource |
Sprache: | Englisch |
ISSN: | 1062-6050, 0160-8320, 1938-162X |
DOI: | 10.4085/1062-6050-44.3.272 |
Schlagworte: | |
Online Zugang: | |
Erfassungsnummer: | PU201105004309 |
Quelle: | BISp |
Abstract
Context: Nonradiographic tests to identify fractures rely on a patient's report of increased pain at the site of injury. These tests can be misleading and produce false-positive or false-negative results because of differences in pain tolerance. A painless technique using a tuning fork and stethoscope to detect fractures has undergone limited review in the athletic training literature. Objective: To determine if the use of a 128-Hz vibrating tuning fork and stethoscope were effective in identifying fractures. Design: Cross-sectional study. Setting: University athletic training room or local orthopaedic center when fractures were suspected. Patients or Other Participants: A total of 37 patients (19 males, 18 females) volunteered. Main Outcome Measure(s): A diminished or absent sound arising from the injured bone as compared with the uninjured bone represented a positive sign for a fracture. Radiographs interpreted by the attending orthopaedic physician provided the standard for comparison of diagnostic findings. Results: Sensitivity was 0.83 (10:12), specificity was 0.80 (20:25), positive likelihood ratio was 4.2, negative likelihood ratio was 0.21, and diagnostic accuracy was 81% (30:37). Conclusions: The tuning fork and stethoscope technique was an effective screening method for a variety of fractures. Verf.-Referat