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Table 5 The performance of the Amsterdam Wrist Rules at external validation (N = 395)

From: The Amsterdam wrist rules: the multicenter prospective derivation and external validation of a clinical decision rule for the use of radiography in acute wrist trauma

All Fractures

  

 Amsterdam Wrist Rules indicate X-ray

215

139

 Amsterdam Wrist Rules indicate no X-ray

4

37

 Total

219

176

 Sensitivity (%)

98.2 (95.1–99.4)

 Specificity (%)

21.0 (15.4–27.9)

Distal Radius Fractures

  

 Amsterdam Wrist Rules indicate X-ray

179

158

 Amsterdam Wrist Rules indicate no X-ray

3

53

 Total

184

211

 Sensitivity (% [95 % CI])

98.4 (96.5–100.0)

 

 Specificity (% [95 % CI])

25.1 (19.3–31.0)

 
  1. Abbreviations: CI Confidence Interval
  2. The cut-off point for X-ray yes or no was a predicted probability of 21 % for all fractures and 4 % for only distal radius fractures