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Introduction: Technological advancements and increased production of cars and motorcycles have led to the increased incidence of traumas all around the world. Injuries and fractures occur due to different etiologic factors such as motor vehicle accidents, quarrels, and fall accidents. The purpose of this study was to evaluate the frequency of fractures in computed tomography (CT) scans in Emergency Department of Imam Khomeini Hospital in Ilam, Iran, in 2014. Materials & Methods: In this cross-sectional retrospective study, we evaluated the medical records of all trauma patients who were admitted to Imam Khomeini Hospital in Ilam during 2014. Information from patients' medical records and CT scan radiographs were recorded in a checklist. After removing duplicate data, 710 patients were evaluated. Findings: In this study, 52% (75% male and 25% female) of the fracture cases due to motor vehicle accidents were aged 18-26 years. The most frequent etiologic factor was accident (62.9%) and the most frequent trauma type was hand and foot trauma in males (39.1%) and females (38.4%), followed by head and neck trauma in males (32.7%) and females (22.1%). Most of the fractures had occurred in the first half of 2014, and the mortality rate due to fracture was 1.3%. Discussion & Conclusions: This study showed that the most frequent etiologic factor of trauma is motor vehicle accident similar to other developing countries. Therefore, providing education in this area and increasing the safety of transport systems are essential.