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Table 3 Clinically relevant fractures seen on radiography compared to point-of-care bedside ultrasound and sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) of the sonographers and expert in significant fractures

From: Point-of-care bedside ultrasound examination for the exclusion of clinically significant ankle and fifth metatarsal bone fractures; a single blinded prospective diagnostic cohort study

 

Sonographer

Expert

Fracture

No Fracture

Fracture

No Fracture

Fracture Xray

28 (80%)

7 (20%)

29 (83%)

6 (17%)

No fracture Xray

12 (10%)

111 (90%)

1 (1%)

122 (99%)

Sensitivity

80.0% (95% CI 63.0–91.6%)

82.8% (95% CI 66.3–93.4%)

Specificity

90.3% (95% CI 83.7–94.9%)

99.2% (95% CI 95.5–99.9%)

PPV

70.0% (95% CI 57.0–80.3%)

96.7% (95% CI 80.3–99.5%)

NPV

94.1% (95% CI 89.1–96.9%)

95.3% (95% CI 91.0–98.2%)