Aim: Aim of the study is to compare the accuracy of ultrasonography and conventional radiography in detecting the fractures in patients with a clinical impression. Background: Injuries are a leading source of mortality and disability around the globe. According to form, there are four main categories of bones: sesamoid, sesamoid, flat, and long. First, radiographs were used to identify every fracture. Because of this, complementary imaging would be preferred to rule out or confirm the occurrence of a fracture in order to prevent both short and long-term consequences. Methodology: The study was conducted in Central Park Hospital Lahore. Following a conventional radiograph (CR) examination of the patients, real-time ultrasonography was performed utilizing a high-frequency linear transducer in both the longitudinal and transverse planes. To examine the relative effectiveness of radiography and ultrasonography in identifying fractures, the findings from both techniques were compared. Settings and research design: Fifty patients with clinically suspected fractures from any age group and sex who visited our institution's emergency wing, orthopedic outdoor or indoor, and other departments were included in the study. Results: The research shows that for the identification of long bone fractures, the accuracy, positive predictive value (PPV), negative predictive value (NPV), sensitivity, specificity, and accuracy of the CR versus USG are all 100%. Additionally, the accuracy, NPV, PPV, specificity, and sensitivity of the CR versus USG in the situation of a short bone fracture diagnosis are 66.67%, 33.3%, 100%, 100%, and 60%, respectively. Therefore, in this investigation, the overall accuracy, NPV, PPV, specificity, and sensitivity of CR against USG were 88%, 72.73%, 100%, 100%, and 82.35%, respectively. The accuracy, NPV, PPV, specificity, and sensitivity of the CR versus USG were, however, 60%, 33.3%, 100%, 100%, and 50%, respectively, in the case of flat bones. Conclusions: It is discovered to be more sensitive than CR in detecting fractures of short and flat bones and comparable in sensitivity to fractures of long bones. USG is a radiation-free, readily accessible, portable, and cost-effective imaging approach for locating fractures that are only superficially placed.

Ultrasonography, Radiography, Fractures.