ARTIFICIAL INTELLIGENCE IN ORTHOPEDIC FRACTURE DETECTION: DIAGNOSTIC ACCURACY, CLINICAL IMPACT AND FUTURE PERSPECTIVES – A LITERATURE REVIEW

Abstract

Objective: Artificial intelligence (AI) has emerged as a transformative technology in medical imaging, particularly in orthopedic fracture detection. Accurate and timely diagnosis of fractures is essential for effective treatment and prevention of complications, yet conventional radiographic interpretation remains prone to errors due to increasing workload and variability in clinician experience. The aim of this study was to evaluate the diagnostic performance of AI systems in fracture detection and to analyze their clinical, organizational, and socio-technological implications. Methods: A narrative literature review was conducted using PubMed, Scopus, and Embase databases, including studies published between 2017 and 2025. The analysis focused on studies reporting quantitative diagnostic performance metrics and real-world applications of AI in orthopedic imaging. Results: The results indicate that AI systems, particularly deep learning models based on convolutional neural networks, achieve high diagnostic accuracy, with sensitivity and specificity frequently exceeding 90% and reaching up to 95–98% in selected applications. AI-assisted diagnostic approaches have been shown to improve fracture detection rates, reduce interpretation time, and support less experienced clinicians. Additionally, AI demonstrates significant potential to optimize clinical workflows and enhance healthcare system efficiency. Conclusions: However, several limitations remain, including issues related to dataset bias, limited generalizability, lack of interpretability, and regulatory challenges. The implementation of AI in healthcare also raises important ethical and social considerations, particularly regarding data privacy, accountability, and equitable access to technology. In conclusion, artificial intelligence represents a powerful complementary tool that can enhance diagnostic accuracy and transform healthcare delivery. Its successful integration requires careful consideration of clinical, technological, and socio-organizational factors.

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