Rescatando la percusión auscultatoria: relevancia y aplicación en el diagnóstico de fracturas de cadera ocultas.

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Title: Rescatando la percusión auscultatoria: relevancia y aplicación en el diagnóstico de fracturas de cadera ocultas.
Alternate Title: Reviving Auscultatory Percussion: Relevance and Application in the Diagnosis of Occult Hip Fractures.
Authors: Fabian-Alfaro, Angel Carlos1,2 angelcarlosfabianalfaro@gmail.com
Source: Revista del Cuerpo Médico del Hospital Nacional Almanzor Aguinaga Asenjo. Oct-Dec2025, Vol. 18 Issue 4, p1-4. 4p.
Subjects: Hip fractures, Diagnosis, Medical personnel training, Bone fractures, Routine diagnostic tests, Emergency medicine, Diagnostic examinations
Abstract (English): The article focuses on the relevance and application of auscultatory percussion, specifically the patellar-pubic percussion test (PPPT), for the diagnosis of occult hip fractures that are not evident on initial X-rays. The PPPT is a non-invasive clinical maneuver that compares the sound transmitted between both limbs to detect bone discontinuities, showing high sensitivity (0.96) and specificity (0.86) according to scientific evidence. Additionally, this technique can be extended to other bone fractures and is useful in emergency settings as a low-cost tool to guide the need for more advanced imaging studies. However, it has limitations in patients with prostheses or conditions that alter sound transmission, so its systematic incorporation into clinical evaluation and its teaching in medical training are recommended. [Extracted from the article]
Abstract (Spanish): El artículo se centra en la relevancia y aplicación de la percusión auscultatoria, específicamente el test de percusión patelar-púbica (TPPP), para el diagnóstico de fracturas ocultas de cadera, que no son evidentes en radiografías iniciales. El TPPP es una maniobra clínica no invasiva que compara el sonido transmitido entre ambas extremidades para detectar discontinuidades óseas, mostrando alta sensibilidad (0.96) y especificidad (0.86) según evidencia científica. Además, esta técnica puede extenderse a otras fracturas óseas y es útil en emergencias como herramienta de bajo costo para orientar la necesidad de estudios de imagen más avanzados. Sin embargo, presenta limitaciones en pacientes con prótesis o condiciones que alteran la transmisión del sonido, por lo que se recomienda su incorporación sistemática en la evaluación clínica y su enseñanza en la formación médica. [Extracted from the article]
Copyright of Revista del Cuerpo Médico del Hospital Nacional Almanzor Aguinaga Asenjo is the property of Cuerpo Medico del Hospital Nacional Almanzor Aguinaga Asenjo and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: MedicLatina
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  Data: Rescatando la percusión auscultatoria: relevancia y aplicación en el diagnóstico de fracturas de cadera ocultas.
– Name: TitleAlt
  Label: Alternate Title
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  Data: Reviving Auscultatory Percussion: Relevance and Application in the Diagnosis of Occult Hip Fractures.
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Fabian-Alfaro%2C+Angel+Carlos%22">Fabian-Alfaro, Angel Carlos</searchLink><relatesTo>1,2</relatesTo><i> angelcarlosfabianalfaro@gmail.com</i>
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  Data: <searchLink fieldCode="JN" term="%22Revista+del+Cuerpo+Médico+del+Hospital+Nacional+Almanzor+Aguinaga+Asenjo%22">Revista del Cuerpo Médico del Hospital Nacional Almanzor Aguinaga Asenjo</searchLink>. Oct-Dec2025, Vol. 18 Issue 4, p1-4. 4p.
– Name: Subject
  Label: Subjects
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  Data: <searchLink fieldCode="DE" term="%22Hip+fractures%22">Hip fractures</searchLink><br /><searchLink fieldCode="DE" term="%22Diagnosis%22">Diagnosis</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+personnel+training%22">Medical personnel training</searchLink><br /><searchLink fieldCode="DE" term="%22Bone+fractures%22">Bone fractures</searchLink><br /><searchLink fieldCode="DE" term="%22Routine+diagnostic+tests%22">Routine diagnostic tests</searchLink><br /><searchLink fieldCode="DE" term="%22Emergency+medicine%22">Emergency medicine</searchLink><br /><searchLink fieldCode="DE" term="%22Diagnostic+examinations%22">Diagnostic examinations</searchLink>
– Name: Abstract
  Label: Abstract (English)
  Group: Ab
  Data: The article focuses on the relevance and application of auscultatory percussion, specifically the patellar-pubic percussion test (PPPT), for the diagnosis of occult hip fractures that are not evident on initial X-rays. The PPPT is a non-invasive clinical maneuver that compares the sound transmitted between both limbs to detect bone discontinuities, showing high sensitivity (0.96) and specificity (0.86) according to scientific evidence. Additionally, this technique can be extended to other bone fractures and is useful in emergency settings as a low-cost tool to guide the need for more advanced imaging studies. However, it has limitations in patients with prostheses or conditions that alter sound transmission, so its systematic incorporation into clinical evaluation and its teaching in medical training are recommended. [Extracted from the article]
– Name: Abstract
  Label: Abstract (Spanish)
  Group: Ab
  Data: El artículo se centra en la relevancia y aplicación de la percusión auscultatoria, específicamente el test de percusión patelar-púbica (TPPP), para el diagnóstico de fracturas ocultas de cadera, que no son evidentes en radiografías iniciales. El TPPP es una maniobra clínica no invasiva que compara el sonido transmitido entre ambas extremidades para detectar discontinuidades óseas, mostrando alta sensibilidad (0.96) y especificidad (0.86) según evidencia científica. Además, esta técnica puede extenderse a otras fracturas óseas y es útil en emergencias como herramienta de bajo costo para orientar la necesidad de estudios de imagen más avanzados. Sin embargo, presenta limitaciones en pacientes con prótesis o condiciones que alteran la transmisión del sonido, por lo que se recomienda su incorporación sistemática en la evaluación clínica y su enseñanza en la formación médica. [Extracted from the article]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Revista del Cuerpo Médico del Hospital Nacional Almanzor Aguinaga Asenjo is the property of Cuerpo Medico del Hospital Nacional Almanzor Aguinaga Asenjo and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Text: Spanish
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        PageCount: 4
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      – SubjectFull: Hip fractures
        Type: general
      – SubjectFull: Diagnosis
        Type: general
      – SubjectFull: Medical personnel training
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      – SubjectFull: Bone fractures
        Type: general
      – SubjectFull: Routine diagnostic tests
        Type: general
      – SubjectFull: Emergency medicine
        Type: general
      – SubjectFull: Diagnostic examinations
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      – TitleFull: Rescatando la percusión auscultatoria: relevancia y aplicación en el diagnóstico de fracturas de cadera ocultas.
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            – D: 01
              M: 10
              Text: Oct-Dec2025
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              Y: 2025
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