Diagnostic Errors in Skeletal Trauma in Adults

  • M. K. Dalinka
Conference paper
Part of the Radiology Today book series (RADIOL.TODAY, volume 4)


Errors in the radiologic diagnosis of skeletal injuries may occur because of inadequate clinical history, incorrect ordering of films, incomplete radiologic examination, or errors in interpretation. In extremity injuries, the area of point tenderness or local soft tissue swelling should be noted on the request form. Multiple examinations of areas such as elbow, forearm, and wrist should be performed individual, and not by utilizing long films which include multiple areas. Correlation of suspicious findings with clinical history and physical evaluation is frequently helpful.


Cervical Spine Stress Fracture Radial Head Ulnar Collateral Ligament Ulnar Styloid 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Bohlman HH (1979) Acute fractures and dislocations of the cervical spine. J Bone Joint Surg 61 A: 1143–1150Google Scholar
  2. 2.
    Cisternino SJ, Rogers LF, Stufflebam BC, Kruglik GD (1978) The trough line: A radiographic sign of posterior shoulder dislocation. Am J Roentgenol 130: 951–954Google Scholar
  3. 3.
    Daffner RH (1978) Stress fractures: current concepts. Skeletal Radiol 2: 221–29CrossRefGoogle Scholar
  4. 4.
    De Smet AA, Neff JR (1985) Pubic and sacral insufficiency fractures: clinical course and radiologic findings. AJR 145: 601–606PubMedGoogle Scholar
  5. 5.
    Dietz GW, Wilcox DM, Montgomery JB (1986) Second tibial condyle fracture: lateral capsular ligament avulsion. Radiology 159: 467–469PubMedGoogle Scholar
  6. 6.
    Downey EF Jr, Curtis DJ (1986) Patient-induced stress test of the first metacarpophalangeal joint: a radiographic assessment of collateral ligament injuries. Radiology 158: 679–683PubMedGoogle Scholar
  7. 7.
    Giesecke SB, Dalinka MK, Kyle GC (1978) Lisfranc’s fracture-dislocation: a manifestation of peripheral neuropathy. Am J Roentgenol 131: 139–141Google Scholar
  8. 8.
    Gilula LA (1979) Review - Carpal injuries: analytic approach and case exercises. AJR 133: 503–517PubMedGoogle Scholar
  9. 9.
    Goergen TG, Resnick D, Riley RR (1978) Posttraumatic abnormalities of the pubic bone simulating malignancy. Radiology 126: 85–87PubMedGoogle Scholar
  10. 10.
    Heckman JD, McLean MR (1985) Fractures of the lateral process of the talus. Clin Orthop 199:108– 113Google Scholar
  11. 11.
    Johnson RP (1980) The acutely injured wrist and its residuals. Clin Orthop 149: 33PubMedGoogle Scholar
  12. 12.
    Mayfield JK (1980) Carpal dislocations: pathomechanics and progressive perilunar instability. J Hand Surg 5: 226Google Scholar
  13. 13.
    Mino DE, Palmer AK, Levinsohn EM (1958) Radiography and computerized tomography in the diagnosis of incongruity of the distal radio-ulnar joint. J Bone Joint Surg 67 A: 247–252Google Scholar
  14. 14.
    Nance EP Jr, Kaye JJ, Milek MA (1979) Volar plate fractures. Radiology 133: 61–64PubMedGoogle Scholar
  15. 15.
    Norfray JF, Rogers EF, Adamo GP, Groves HC, Heiser WJ (1980) Common calcaneal avulsion fracture. AJR 134: 119–123PubMedGoogle Scholar
  16. 16.
    Norfray JF, Geline RA, Steinberg RI, Galinski AW, Gilula LA (1981) Subtleties of Lisfranc fracture- dislocations. AJR 137: 1151–1156PubMedGoogle Scholar
  17. 17.
    Regenbogen VS, Rogers LF, Atlas SW, Kim KS (1986) Cervical spinal cord injuries in patients with cervical spondylosis. AJR 146: 277–284PubMedGoogle Scholar
  18. 18.
    Renfrew DL, El-Khoury GY (1985) Anterior process fractures of the calcaneus. Skeletal Radiol 14: 121–125PubMedCrossRefGoogle Scholar
  19. Rubin RA, Gray RL, Green RB (1974) The scapular “Y”: A diagnostic aid in shoulder trauma. Radiology 110: 725Google Scholar
  20. 20.
    Savoca CJ (1971) Stress fractures - a classification of the earliest radiographic signs. Radiology 100: 519–524PubMedGoogle Scholar
  21. 21.
    Scher AT (1979) Unrecognized fractures and dislocations of the cervical spine. Paraplegia 19: 25–30CrossRefGoogle Scholar
  22. 22.
    Shaffer MA, Dorris PE (1981) Limitation of the cross table lateral view in detecting cervical spine injuries. Ann Emerg Med 10: 508–513PubMedCrossRefGoogle Scholar
  23. 23.
    Simpson EM, Dalinka MK, Stewart VL (1984) Trauma to the Shoulder and Elbow. In: Dalinka MK, Kaye JJ (eds) Radiology in Emergency Medicine, Churchill Livingstone, New York, pp 25–52Google Scholar
  24. 24.
    Torg JS, Pavlov H, Cooley LH, Bryant MG, Arnoczky SP, Bergfeld J, Hunter LY (1982) Stress fractures of the tarsal navicular. J Bone Joint Surg 63A: 700–712Google Scholar

Copyright information

© Springer-Verlag Berlin, Heidelberg 1987

Authors and Affiliations

  • M. K. Dalinka

There are no affiliations available

Personalised recommendations