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Commonly Missed Injuries in the Patient with Polytrauma and the Orthopaedist’s Role in the Tertiary Survey

Stevens, Nicole M., MD1; Tejwani, Nirmal, MD1

doi: 10.2106/JBJS.RVW.18.00014
Review Articles

  • * Up to 81% of missed injuries in the initial evaluation of patients with trauma are orthopaedic in nature, and up to 35% of these injuries require surgical management.
  • * Systematic tertiary examinations are an integral part of the continuing evaluation of a patient with polytrauma.
  • * Orthopaedic surgeons should have a prominent role in the tertiary evaluation of patients with trauma.
  • * Examination should include inspection and palpation of all extremities, with particular attention paid to the hands and feet, where the majority of missed injuries occur.

1Department of Orthopedics, NYU Langone Health, New York, NY

E-mail address for N. Tejwani:

Copyright © 2018 by The Journal of Bone and Joint Surgery, Incorporated
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