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The Archives of Bone and Joint Surgery، جلد ۱۲، شماره ۱، صفحات ۷۸-۷۹
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عنوان انگلیسی Strategies to Reduce Missed Fracture Diagnoses: Insights from Medical Malpractice Cases in China
چکیده انگلیسی مقاله 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.
کلیدواژه‌های انگلیسی مقاله Missed fracture, Occult fracture, Medicolegal
نویسندگان مقاله | Xue-dong Tian
Department of Orthopaedic Surgery, Zibo Hospital of Traditional Chinese Medicine (Zibo Orthopedic Hospital), Zibo, Shandong, China
نشانی اینترنتی https://abjs.mums.ac.ir/article_23377.html
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نوع مقاله منتشر شده LETTER TO THE EDITOR
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