Table 7

Secondary reasons contributing to fractures missed on radiograph

ReasonNumberNotes
Wrong radiographs taken34in 33 patients
Two fractures on one film—one diagnosed, another missed11Wrist 3, hand 4, knee 1, foot 2, chest 1.
Poor quality radiographs 43 poor laterals, one overexposed
Abnormality seen and commented on but misinterpreted 8# 4th MT with callus diagnosed as exostosis
# upper ulna interpreted as normal variant
Epiphyseal # TP interpreted as chip #
New # clavicle misinterpreted as old
Skull # as accessory suture
# lateral malleollus as accessory bone
# base TP as sesamoid
# base 5th MT as epiphysis