Strategies to Reduce Missed Fracture Diagnoses: Insights from Medical Malpractice Cases in China | ||
| The Archives of Bone and Joint Surgery | ||
| مقاله 11، دوره 12، شماره 1، فروردین 2024، صفحه 78-79 اصل مقاله (678.42 K) | ||
| نوع مقاله: LETTER TO THE EDITOR | ||
| شناسه دیجیتال (DOI): 10.22038/abjs.2023.76051.3513 | ||
| نویسنده | ||
| Xue-dong Tian* | ||
| Department of Orthopaedic Surgery, Zibo Hospital of Traditional Chinese Medicine (Zibo Orthopedic Hospital), Zibo, Shandong, China | ||
| چکیده | ||
| Missed fractures are a frequent source of malpractice claims in China. We reviewed 52 legal judgments (2021-2023) involving missed fractures to characterize the epidemiology, injury patterns, and diagnostic errors. Most patients were middle-aged males injured in traffic accidents. Lower extremity fractures accounted for over half of missed diagnoses, especially femoral neck (35.4%) and ankle/foot (16.7%). 85.4% were non-displaced fractures, often originally diagnosed in emergency departments. Physicians were found negligent in 63.5% of cases. Occult fractures are prone to underdiagnosis as soft tissue injuries. To reduce errors, physicians should thoroughly evaluate injury mechanisms, perform appropriate radiologic studies, immobilize when uncertain, and ensure follow-up. Quality improvement initiatives are needed to enhance fracture detection. Findings highlight the need for heightened suspicion and diligent radiographic assessment to avoid delayed or missed fracture diagnoses. | ||
| کلیدواژهها | ||
| Missed fracture؛ Occult fracture؛ Medicolegal | ||
| مراجع | ||
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