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A broad PubMed search in English was conducted without time limits; selected articles were critically reviewed by three acute care physicians with over 20 years of POCUS experience. Reported pooled ultrasound sensitivity was 89.3% and specificity 98.4%, with high evidence uncertainty due to bias and operator heterogeneity. The review also compares clinical advantages, limitations, and pain-control applications.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/point-of-care-ultrasound-pocus-diagnosis-of-rib-fractures/457742/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/point-of-care-ultrasound-pocus-diagnosis-of-rib-fractures/457742.png","ImageObject",300,407,{"name":92,"@type":93},"WPS_1790064749","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-30","2026-09-30",true,{"@type":102,"interactionType":103,"userInteractionCount":52},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What is the purpose of the review on POCUS for rib fracture diagnosis?","Question",{"text":112,"@type":113},"The review assesses the diagnostic role of point-of-care ultrasound (POCUS) for rib fractures compared with other modalities and provides recommendations for its use.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How accurate is ultrasound compared with other diagnostic approaches, according to the reviewed evidence?",{"text":117,"@type":113},"A cited meta-analysis reported pooled sensitivity of 89.3% and pooled specificity of 98.4%, with a pooled positive likelihood ratio of 55.7 and no difference between emergency and radiology departments.",{"name":119,"@type":110,"acceptedAnswer":120},"What advantages and limitations does POCUS have for rib fracture evaluation?",{"text":121,"@type":113},"Advantages include dynamic assessment of displacement, portability for prehospital/disaster use, no radiation exposure, and good soft-tissue resolution. Limitations include operator dependence, longer exam time, inability to diagnose ribs covered by bones like under the scapula, and the need for a conscious patient to guide the exam.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},457742,1790979161,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":52,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":139,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":145,"preview_page_count":4},3985747859154,"https://ap-avatar.wpscdn.com/davatar_276721f389ce27ea32af1340a28f341c","Abu-Zidan etal. World Journal of Emergency Surgery (2026) 21:1  \n[https://doi.org/10.1186/s13017-025-00665-9](https://doi.org/10.1186/s13017-025-00665-9)  \nWorld Journal of Emergency Surgery  \nREVIEW Open Access  \nPoint-of-care ultrasound (POCUS) diagnosis of rib fractures  \nFikri M. Abu-Zidan 1,2*, David O. Alao3 and Arif Alper Cevik3  \nAbstract  \nAim To review the literature on the role of Point-of-care ultrasound (POCUS) in diagnosing rib fractures compared with other diagnostic modalities and to give recommendations on its role.  \nMethods Broad text PubMed database search was performed using general terms (rib, fracture, ultrasound, diagnosis) in English language without time restriction. Selected articles were critically read by three acute care physicians who have more than 20 years’ experience in POCUS.  \nResults Ultrasound, as shown by a recent meta-analysis, had a pooled sensitivity of 89 . 3%, a pooled specificity of 98 .4%, and a pooled positive likelihood ratio of 55.7 without difference between emergency and radiology departments. The uncertainty of evidence was high due to (1) selection bias,(2) geographical bias, and (3) heterogeneity of the operator’s experience. POCUS has certain advantages including: (1) it is dynamic so it can evaluate the rib displacement during respiration,(2) It is portable so that it can be used in prehospital setting and disaster situations,(3) it has no risk of radiation so that it can be used in pregnant women, children, and in repeated follow-up, and (4) it has good resolution to evaluate the soft tissues around fractures. In contrast, its limitations include: (1) it is operator dependant,(2) it takes a longer time,(3) it cannot diagnose ribs covered by bones like those under the scapula, and (4) it needs a conscious patient to guide the examination. Ultrasound-guided blocks, including intercostal nerve block, serratus anterior plane block, and erector spinae plane block were successful in controlling the pain of multiple rib fractures.  \nConclusions This review supports the use of POCUS in diagnosing rib fractures, which can be extended into ultrasound-guided blocks for pain control. Nevertheless, it highlights the need for research with higher quality in this area. Ultrasound and CT scan should be complementary and not competitive.  \nKeywords Chest X-ray, Computed tomography, Diagnosis, Fracture, Management  \n*Correspondence:  \nFikri M. Abu-Zidan  \n[fmabuzidan@gmail.com](fmabuzidan@gmail.com)  \n1Department of Surgery, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, United Arab Emirates  \n2World Society of Emergency Surgery, Bologna, Italy  \n3Department of Internal Medicine, Academic Emergency Medicine Group, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, United Arab Emirates  \n© The Author(s) 2025. Open Access This article is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License, which permits any non-commercial use, sharing, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if you modified the licensed material. You do not have permission under this licence to share adapted material derived from this article or parts of it. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit [http://creati](http://creati)[vecommons.org/l](vecommons.org/l)icenses/by-nc-nd/4.0/.  \nAbu-Zidan et al. World Journal of Emergency Surgery (2026) 21:1  \nIntroducti","cbCaifut96MLTIXR","https://ap.wps.com/l/cbCaifut96MLTIXR","pdf",2264247,14,"English","# Abstract\n# Introduction\n# Authors and Affiliations\n# Methods\n# Results\n# Conclusions\n# Keywords","[{\"question\":\"What is the purpose of the review on POCUS for rib fracture diagnosis?\",\"answer\":\"The review assesses the diagnostic role of point-of-care ultrasound (POCUS) for rib fractures compared with other modalities and provides recommendations for its use.\"},{\"question\":\"How accurate is ultrasound compared with other diagnostic approaches, according to the reviewed evidence?\",\"answer\":\"A cited meta-analysis reported pooled sensitivity of 89.3% and pooled specificity of 98.4%, with a pooled positive likelihood ratio of 55.7 and no difference between emergency and radiology departments.\"},{\"question\":\"What advantages and limitations does POCUS have for rib fracture evaluation?\",\"answer\":\"Advantages include dynamic assessment of displacement, portability for prehospital/disaster use, no radiation exposure, and good soft-tissue resolution. Limitations include operator dependence, longer exam time, inability to diagnose ribs covered by bones like under the scapula, and the need for a conscious patient to guide the exam.\"}]","Point-of-care ultrasound (POCUS) diagnosis of rib fractures | PDF",1790750307,35]