Submit Manuscript | http://medcraveonline.com Introduction Background Machado 1 defnes bone as a specialized yet complex group of connective tissues that has a certain level of elasticity even in the large mineralized components concentration in the extra cellular space. A response is generated immediately after a fracture occurs that is based on a molecular signal cascading the bone induction that is called as the fracture healing. The process includes several stages of process of repair based on a spatial and temporal sequence that can further result in complications for instances the delayed unions, non-unions and infections. These complications have further negative consequences involved in treatments for the patients and subsequently the burden of high cost. According to Machado 1 more recent computed tomography besides the traditional x-ray is today proposed for the evaluation such as the ultra sound technique to assess ad monitor the fracture. In addition to that several studies today such as that of Rubin et al. 2 Schortinghuis et al. 3 Parvizi & Vegari 4 Tajali et al. 5 have expressed that the low-intensity pulsed ultrasound (LIPUS)devices has the ability to improve the repair the bones of the patients that has shin bone fractures. The studies have shown gradual healing since the injury by using the device that emits the low-intensity pulsed ultrasound. The study conducted by Schofer et al. 6 states that LIPUS enhances the healing process in the fresh fractures and has also concluded that the LIPUS assist in promoting the healing in older fractures with delayed fracture healing. According to Papalada et al. 7 the overuse injuries in particular the bone stress injuries are in majority misdiagnosed. The study further states that using MRI (magnetic resonance imagining) is effective but it is costly whereas the ultrasound is a tool that is less costly and noninvasive for stress fracture preliminary diagnosis. The study was based on a ten year experiment where 1313 patients were assessed including the track and feld athletes facing bone stress injuries. The study compared the MRI with ultrasound and concluded that ultrasound is more sensitive for the bone stress injuries diagnosis as compared to the MRI and therefore recommended the use of ultrasound in the assessment of the bone injuries. Moreover the study suggested that the therapist along with the athletic trainers can easily perform ultrasound in case the stress fracture is clinically suspected that will assist in early identifcation of the bone fracture. According to Blankstein 8 ultrasonography when managed by an expert is a versatile diagnostic tool that has been used to evaluate breasts, fetuses, neonatal brains, hearts, glands, blood vessels and abdomen and pelvis organs. The feld of Musculoskeletal Ultrasound with soft tissues and joints of the musculoskeletal system are recently under study due to the growing concern in the feld of the sports medicine, anaesthesiology, physiatrists, rheumatology, podiatry, and pain medicine. According to few studies ultrasound are concluded a tool that cannot evaluate the soft tissue of the bone as the waves of the ultrasound cannot pass though bones at the frequency range that is required in the imaging diagnosis. The bone tissue interface inherits a high acoustic impedance causes the waves of ultrasound to be powerfully refected from the surface bones. Therefore these studies conclude that due to the lack of the signals potential to penetrate deal to the bone soft tissue it can only see darkness beyond the cortical surface that is called as the acoustic shadowing. These acoustic shadows do to give any information’s. However studies such as that of Sinha et al. 9 stated that radiography has been the most commonly use imaging modality in order to detect the bone fracture especially in the trauma patients that are brought in MOJ Orthop Rheumatol. 2019;11(6):195‒199. 195 ©2019 Khan et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and build upon your work non-commercially. A prospective observational study: The role of ultrasonography in detecting various long bone fractures. An in depth study of a military hospital Volume 11 Issue 6 - 2019 Shehzad Khan, 1 Bakhti Rokhan, 2 Shah Abbas, 3 Asma Shehzad, 4 Sanyya Hadi 4 1 Consultant Radiologist, Saidu Teaching Hospital, Pakistan 2 Associate Professor Radiology, Saidu Teaching hospital, Pakistan 3 Laparoscopic Surgeon, Senior Registrar Saidu Teaching Hospital, Pakistan 4 Department of Radiology, Saidu Teaching hospital, Pakistan Correspondence: Shehzad Khan, Department of Radiology, STH College colony, Saidu Sharif Swat, Dr. Nasreen Clinic, Swat KPK, Pakistan, Tel +923339474003, Email Received: September 26, 2019 | Published: November 08, 2019 Abstract This study aims at assessing of the ultrasound in various bone fracture. This research aims at establishing safe and effective clinical standards to be adopted in the clinical circumstances. The researcher took two groups of sample where both of them faced bone fractures of long bones but one group underwent ultrasound and the other group of sample underwent the x-ray. Both the set of detections were evaluated in terms of time, specifcity and effciency. Each of the of 100 participants all confrmed patients of long bones fractures on CT went through X-ray and Ultra sonography where the result is shown in the table below where the results states that US showed 95% sensitivity (sensitivity: positively diagnose a patient who has pathology) for high-grade injuries and US was shown to have 66.6% specifcity (specifcity: not falsely diagnosing a healthy patient) Keywords: healthy patient, negative consequences, fracture healing, musculoskeletal ultrasound, pain medicine, rheumatology, podiatry MOJ Orthopedics & Rheumatology Research Article Open Access