Assessment of Undiagnosed Fractures in Trauma Patients with Pelvic Injuries Admitted to Non-Orthopedic Wards at Tabriz University of Medical Sciences

Introduction: Pelvic fractures are severe injuries commonly resulting from high-energy trauma, such as motor vehicle accidents and falls. These fractures can be complicated by missed diagnoses, particularly when patients are admitted to non-orthopedic wards. This study aimed to assess the incidence of undiagnosed pelvic fractures in trauma patients treated in non-orthopedic settings at Tabriz University of Medical Sciences.Materials and Methods: A retrospective, cross-sectional analysis was conducted on trauma patients with pelvic fractures admitted to non-orthopedic wards from January ۲۰۲۰ to December ۲۰۲۴. Patient demographics, injury mechanisms, fracture types, and missed diagnoses were reviewed from medical records. Data were analyzed using descriptive and inferential statistics.Results: A total of ۳۰۰ patients were included, with a mean age of ۴۶.۳۵ years. The majority were male (۶۰.۶۷%), and the primary injury mechanism was motor vehicle accidents (۵۰.۳۳%). Pelvic ring disruptions (۴۲.۳۳%) were the most common fracture type. The incidence of missed fractures was ۳۴%, with pelvic ring disruptions being the most frequently missed (۱۰.۳۳%).Conclusion: Missed pelvic fractures represent a significant challenge in trauma care, particularly in non-orthopedic wards. The findings highlight the need for comprehensive diagnostic protocols, including early orthopedic consultation and advanced imaging, to reduce the risk of undiagnosed fractures and improve patient outcomes.

کلیدواژه ها:

Pelvic fractures ، Trauma ، Missed diagnosis ، Non-orthopedic wards