OBJECTIVE: The aim of the study was to evaluate the value of physical findings to predict @entity174 in @entity1 with acute wrist @entity130 . METHODS: This prospective clinical study was conducted over a period of four months from December 1998. The @entity1 who were older than 18 years and presenting with acute wrist @entity130 within 24 hours of the time of injury were included in the study. Magnetic resonance imaging (MRI) was done for the @entity1 who had inconsistency between clinical and radiographic diagnosis. RESULTS: Fifty-five @entity1 were included in the study. Four @entity174 were diagnosed on the MRI of eight @entity1 who have contradiction between clinical diagnosis and X-ray studies. The positive predictive values of @entity4 , localized tenderness, @entity158 on active and passive motion, @entity158 with grip and @entity158 in supination were found as 95.2%, 67.3%, 77.3%, 91,7%, 89.3%, and 96%, respectively. Physical findings having high sensitivity were found as localized tenderness (94.3%), @entity158 on the active and passive motion (97.1%, 94.3%, respectively). @entity158 on the active and passive motion were determined as physical findings with highest negative predictive values (%90.9, %89.5, respectively). CONCLUSION: @entity4 , @entity158 on grip and supination, and especially @entity158 on passive and active motion and localized tenderness can be valuable to predict or rule out @entity174 in acute wrist @entity130 cases who have no deformity.

Evaluation of physical findings in acute wrist XXXX in the emergency department.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity174 :: ('MESH:D050723', 'Disease') :: ['fractures', 'fracture'] @entity4 :: ('MESH:D004487', 'Disease') :: ['edema', 'Edema'] @entity158 :: ('MESH:D010146', 'Disease') :: ['Pain', 'pain'] @entity130 :: ('MESH:D014947', 'Disease') :: ['trauma']
@entity130 :: (MESH:D014947,Disease) :: ['trauma']
