Determining the Degree of Agreement between Computed Tomography Scan and Saline Test to Detect Knee Space Invading in Penetrating Trauma
Background: Penetrating traumas to joints if not detected and properly treated, will be damaged, and causes intra-articular contamination and septic arthritis. At present, saline test is used to detect penetrating wound into the joint. Considering that it is invasive and painful, and is prone to inf...
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| Format: | Article |
| Language: | fas |
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Isfahan University of Medical Sciences
2018-10-01
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| Series: | مجله دانشکده پزشکی اصفهان |
| Subjects: | |
| Online Access: | http://jims.mui.ac.ir/index.php/jims/article/view/10347 |
| _version_ | 1827848848020602880 |
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| author | Fatemeh Mohammadi Reza Mosaddegh Samira Vaziri Elham Zahedi |
| author_facet | Fatemeh Mohammadi Reza Mosaddegh Samira Vaziri Elham Zahedi |
| author_sort | Fatemeh Mohammadi |
| collection | DOAJ |
| description | Background: Penetrating traumas to joints if not detected and properly treated, will be damaged, and causes intra-articular contamination and septic arthritis. At present, saline test is used to detect penetrating wound into the joint. Considering that it is invasive and painful, and is prone to infectious complications especially in busy emergency wards, the purpose of this study was to determine the consensus of computed tomography (CT) scan with saline test to increase the detection rate of penetrating knee trauma cases.
Methods: This cross-sectional diagnostic study was done in the year 2017 in an emergency hospitals of the Iran University of Medical Sciences, Tehran, Iran. 62 patients with knee trauma were selected using convenience sampling method, and were evaluated using saline test and CT scan.
Findings: Saline test was positive in 19 cases of 62 patients. Kappa agreement rate was 54.5% between the results of saline test with CT scan reported by radiologist and 43.9% with CT scan reported by emergency medicine specialist.
Conclusion: According to the results of the study, there was no acceptable agreement between the results of saline test and CT scan, and CT scan could not be a good alternative to saline testing. However, concurrent testing and CT scan can be helpful; as there were negative results of saline test in cases of septic arthritis, which had positive CT scan results. |
| first_indexed | 2024-03-12T09:53:52Z |
| format | Article |
| id | doaj.art-ee373a10ad97435eb1b5e43fad8d7cc0 |
| institution | Directory Open Access Journal |
| issn | 1027-7595 1735-854X |
| language | fas |
| last_indexed | 2024-03-12T09:53:52Z |
| publishDate | 2018-10-01 |
| publisher | Isfahan University of Medical Sciences |
| record_format | Article |
| series | مجله دانشکده پزشکی اصفهان |
| spelling | doaj.art-ee373a10ad97435eb1b5e43fad8d7cc02023-09-02T12:22:27ZfasIsfahan University of Medical Sciencesمجله دانشکده پزشکی اصفهان1027-75951735-854X2018-10-013649087287610.22122/jims.v36i490.103473150Determining the Degree of Agreement between Computed Tomography Scan and Saline Test to Detect Knee Space Invading in Penetrating TraumaFatemeh Mohammadi0Reza Mosaddegh1Samira Vaziri2Elham Zahedi3Assistant Professor, Department of Emergency Medicine, School of Medicine, Iran University of Medical Sciences, Tehran, IranAssistant Professor, Department of Emergency Medicine, School of Medicine, Iran University of Medical Sciences, Tehran, IranAssistant Professor, Department of Emergency Medicine, School of Medicine, Iran University of Medical Sciences, Tehran, IranResident, Department of Emergency Medicine, School of Medicine AND Trauma and Injury Research Center, Iran University of Medical Sciences, Tehran, IranBackground: Penetrating traumas to joints if not detected and properly treated, will be damaged, and causes intra-articular contamination and septic arthritis. At present, saline test is used to detect penetrating wound into the joint. Considering that it is invasive and painful, and is prone to infectious complications especially in busy emergency wards, the purpose of this study was to determine the consensus of computed tomography (CT) scan with saline test to increase the detection rate of penetrating knee trauma cases. Methods: This cross-sectional diagnostic study was done in the year 2017 in an emergency hospitals of the Iran University of Medical Sciences, Tehran, Iran. 62 patients with knee trauma were selected using convenience sampling method, and were evaluated using saline test and CT scan. Findings: Saline test was positive in 19 cases of 62 patients. Kappa agreement rate was 54.5% between the results of saline test with CT scan reported by radiologist and 43.9% with CT scan reported by emergency medicine specialist. Conclusion: According to the results of the study, there was no acceptable agreement between the results of saline test and CT scan, and CT scan could not be a good alternative to saline testing. However, concurrent testing and CT scan can be helpful; as there were negative results of saline test in cases of septic arthritis, which had positive CT scan results.http://jims.mui.ac.ir/index.php/jims/article/view/10347Computed X ray tomographyKneeTraumaInfectionComplications |
| spellingShingle | Fatemeh Mohammadi Reza Mosaddegh Samira Vaziri Elham Zahedi Determining the Degree of Agreement between Computed Tomography Scan and Saline Test to Detect Knee Space Invading in Penetrating Trauma مجله دانشکده پزشکی اصفهان Computed X ray tomography Knee Trauma Infection Complications |
| title | Determining the Degree of Agreement between Computed Tomography Scan and Saline Test to Detect Knee Space Invading in Penetrating Trauma |
| title_full | Determining the Degree of Agreement between Computed Tomography Scan and Saline Test to Detect Knee Space Invading in Penetrating Trauma |
| title_fullStr | Determining the Degree of Agreement between Computed Tomography Scan and Saline Test to Detect Knee Space Invading in Penetrating Trauma |
| title_full_unstemmed | Determining the Degree of Agreement between Computed Tomography Scan and Saline Test to Detect Knee Space Invading in Penetrating Trauma |
| title_short | Determining the Degree of Agreement between Computed Tomography Scan and Saline Test to Detect Knee Space Invading in Penetrating Trauma |
| title_sort | determining the degree of agreement between computed tomography scan and saline test to detect knee space invading in penetrating trauma |
| topic | Computed X ray tomography Knee Trauma Infection Complications |
| url | http://jims.mui.ac.ir/index.php/jims/article/view/10347 |
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