Correlation between clinical and radiological diagnosis for fractures and dislocations in an accident department.

Clinicians and radiologists agreed on the presence or absence of fracture or dislocation in 897 of 1011 cases (89%). The agreement was closer in cases that were thought on clinical grounds to show no injury. We think the high incidence of agreement in this group should help to reduce the number of radiographs used in an accident department. Further analysis of the results indicates which areas of the body have most missed fractures.