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Table 1 Characteristics of PMFs associated with the TSFs included in the systematic review

From: Incidence and missed diagnosis risk of occult posterior malleolar fractures associated with the tibial shaft fractures: a systematic review

Author, year

Study design

Tibial shaft fractures, N

Associated with PMF, N (%)

Detection method

Men, %

Mean age

Energy of injury

Rate of missed diagnosis of PMF (X-ray)

Geographic location of study

Surgical intervention

Böstman [1] (1988)

R

527

5 (0.9%)

X-ray

40%

38 (22–47)

LE

NR

Finland

Surgical fixation when recognized

Georgiadis et al. [11] (1996)

R

179

4 (2.2%)

X-ray

25%

41 (25–53)

LE

NR

USA

Surgical fixation when recognized

Kukkonen et al. [18] (2006)

R

74

18 (24.3%)

X-ray

NR

NR

94%LE

44.4%

Finland

33% underwent surgical fixation

Stuermer et al. [19] (2008)

P

214

8 (3.7%)

X-ray

NR

NR

NR

NR

Germany

Surgical fixation only when displaced

Schottel et al. [14] (2014)

R

71

18 (25.4%)

X-ray+CT

NR

NR

NR

NR

USA

Surgical fixation when large articular fragments or instability

Tsai et al. [20] (2014)

R

240

20 (8.3%)

X-ray

75%

42 (20–61)

LE

NR

China

Surgical fixation only when displaced

Jung et al. [21] (2015)

R

71

34 (47.9%)

X-ray+CT

NR

NR

NR

NR

Korea

Surgical fixation when displaced or involved over 25% of the articular surface

Kempegowda et al. [22] (2016)

R

1113

96 (9%)

X-ray+CT + MRI

63.50%

40 (18–66)

69%LE

NR

USA

73% underwent surgical fixation

51 (4.6%)

X-ray

NR

NR

NR

46.9%

NR

88 (7.9%)

X-ray+CT

NR

NR

NR

NR

NR

Zhang et al. [23] (2018)

R

765

55 (7.2%)

X-ray+CT

60%

45 (24–81)

NR

NR

China

NR

Huang et al. [6] (2018)

R

111

42 (37.8%)

X-ray+CT

NR

NR

NR

NR

China

Surgical fixation when displaced or involved over 25% of the articular surface

Hendrickx et al. [24] (2020)

R

263

75 (29%)

X-ray+CT

NR

NR

NR

NR

Australia

NR

Hendrickx et al. [8] (2019)

R

164

36 (22%)

X-ray+CT

75%

NR

78%LE

25%

Australia

NR

  1. Abbreviations: TSF tibial shaft fractures, PMF posterior malleolus fracture; R, retrospective; P, prospective; N, numbers; NR, not reported; LE, low energy