Accurate and efficient fracture-detection is crucial for timely diagnosis and appropriate treatment-planning, but false negatives are an issue in x-ray image interpretation: missed fractures are the second most common reason for medical malpractice litigations in radiology departments [1–7]. Most frequently missed extremity fractures are those of the hand-wrist and foot–ankle, accounting for up to half of all missed fractures [8,9]. The ever-present quest for improving quality of healthcare, exp…