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Table 4 Physical examination, diagnosis, and treatment in trauma patients in 2006 and 2009

From: Fracture diagnostics, unnecessary travel and treatment: a comparative study before and after the introduction of teleradiology in a remote general practice

  2006 2009
Physical examination 1: Deformity 2: Axial compression pain 3: Local pressure pain Total: 1, 2, 3 2006 1: Deformity 2: Axial compression pain 3: Local pressure pain Total:
1, 2, 3 2009
1. Number of patients 23 67 181 271 37 162 186 385
2. Suspicion of fracture 1   Direct After two days Direct After two days    Direct After two days Direct After two days  
a. No 0 9 0 + 42 181 165 + 52 165 + 92 0 0 0 168 119 + 22 119 + 22
b. Yes 23 58 5 0 11 97 373 162 0 16 + 24 47 264
3. Treatment by GP without x-ray
 c. No fracture
0 0 4 181 170 174 0 0 0 168 121 121
 b Fracture 35 126 0 0 0 155,6 0 0 0 0 0 0
4. Result of x-ray (hospital in 2006 and general practice in 2009):
 d. No fracture
0 31 2 0 8 41 0 103 0 6 + 24 47 158
 e. Fracture 20 15 3 0 3 41 36 + 13 59 0 10 0 106
5. Treatment by GP after x-ray: f. No fracture 0 31 2 0 8 41 0 103 0 6 + 24 47 158
 g. Fracture 0 0 0 0 0 0 6 53 0 10 0 69
6. Treatment Hospital: fractures (only) 20 15 3 0 3 41 31 6 0 0 0 37
  1. Notes:
  2. 1Fractures = Fractures and/or dislocations.
  3. 2Missed fractures.
  4. 3One patient with a complicated tibia/fibular fracture was sent directly to the hospital without obtaining an x-ray at the general practice.
  5. 4Two patients with a high-energy trauma were sent directly to the hospital (CT-scans indicated).
  6. 5Three patients with habitual shoulder dislocation were treated by the GP without x-rays.
  7. 6Twelve patients with phalanx fractures were treated by the GP without x-rays.