• Muhammad Asad Moosa, Roger Christopher Gill, Iqra Jangda, Raza Hasnain Sayyed, and Hasnain Zafar.
• Department of Surgery, Aga Khan University, Karachi, Pakistan.
• J Pak Med Assoc. 2019 Mar 1; 69(Suppl 1) (1): S33-S36.

ObjectiveTo determine the diagnostic accuracy of clinical examination in detecting pelvic fractures in patients with blunt trauma..MethodsThe cross-sectional prospective study was conducted at Aga Khan University Hospital, Karachi, from January to June 2015, and comprised alert, awake blunt-trauma patients. Pelvis examination findings were compared to routine pelvic X-rays. SPSS 19 was used for data analysis..ResultsOf the 133 patients, 122 (92%) were males. Overall mean age was 37 ±14.2 years. There were 14 (10%) patients who were true positives with pelvic fracture diagnosis on both clinical examination and pelvic X-ray, while 14 (10%) were false negative on examination. Clinical examination missed 2 patients with evidence of fracture on X-ray and were considered false positive. Besides, 103 (77.4%) patients were true negative as both clinical exam and X-ray showed no evidence of fracture.ConclusionOmitting pelvic X-ray in the recommended protocol can avoid unnecessary financial burden and reduce undesirable radiation exposure..

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