Medicinal, Psychological, and Health Research Journal (MPHRJ)

Abstract 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 2020 to December 2024. 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 300 patients were included, with a mean age of 46.35 years. The majority were male (60.67%), and the primary injury mechanism was motor vehicle accidents (50.33%). Pelvic ring disruptions (42.33%) were the most common fracture type. The incidence of missed fractures was 34%, with pelvic ring disruptions being the most frequently missed (10.33%).

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.

Abstract Introduction: Postoperative infections are a significant complication following surgical fixation of upper limb fractures, leading to increased morbidity, prolonged hospitalization, and potential implant failure. Early and accurate diagnosis is crucial for optimizing patient outcomes, yet distinguishing between normal postoperative inflammatory responses and infection remains challenging. This study aimed to evaluate the diagnostic utility of inflammatory markers, including C-reactive protein (CRP), procalcitonin (PCT), erythrocyte sedimentation rate (ESR), and white blood cell (WBC) count, in detecting postoperative infections.

Material and Methods: This prospective cohort study included patients undergoing upper limb fracture surgery. Inflammatory markers were measured at postoperative days (POD) 3 and 7. Diagnostic accuracy was assessed using receiver operating characteristic (ROC) analysis, with sensitivity, specificity, and area under the curve (AUC) calculated.

Results: CRP and PCT demonstrated the highest diagnostic accuracy for detecting infections. At POD 3, CRP (AUC = 0.863) and PCT (AUC = 0.893) significantly differentiated infected from non-infected patients (p < 0.001). ESR and WBC count showed moderate diagnostic accuracy. Serial CRP and PCT measurements improved infection detection.

Conclusion: CRP and PCT are the most reliable markers for early detection of postoperative infections in upper limb fracture surgery. Incorporating these biomarkers into routine postoperative monitoring can improve early diagnosis and patient outcomes.

Abstract Introduction: Early detection of cancer can significantly increase the likelihood of successful treatment, and imaging tests can have a significant impact on cancer diagnosis. Early cancer treatments are simpler and cheaper than advanced treatments.

Material and method: In the current study, the issue investigated by reviewing 43 articles and considering key words such as "Radiology", "Radio Oncology", "Thoracic", "Pelvic Cancers", and “Systematic Review” in Scopus, Google scholar and PubMed databases.

Results: It should be noted that X-rays can cause changes in DNA, which can lead to cancer in the decades or years to come, but this risk is very small. Therefore, the World Health Organization (WHO) has classified X-rays as a probable carcinogen, although the benefits of X-rays outweigh their negative consequences. According to estimates, 0.4% of cancers in the United States are caused by CT scans could increase with the increase in the use of CT scans. On average, at least 62 million CT scans were performed in the United States in 2007.

Conclusion: Early detection helps doctors detect abnormalities in cancer-prone tissues that may develop into malignant cancers and prevent their spread by using cancer treatments.