[Ultrasonographic Diagnosis of Distal Pediatric Forearm Fractures]

Orv Hetil. 2017 Jun;158(24):944-948. doi: 10.1556/650.2017.30763.
[Article in Hungarian]

Abstract

Introduction and aim: The aim of our prospective study was to evaluate the effectivity of sonographic diagnosis of pediatric wrist fractures and analyzing the results of two pediatric musculoskeletal centers.

Method: Between 2011 January and 2015 December 467 children aged 0-15 with closed wrist injuries and open growth plates were sonographically and radiologically evaluated by an orthopaedic surgeon or a resident in trainee. Sonography was performed immediately after physical examination with linear probes of 7-14 Mhz frequency. Results were compared to conventional two plane wrist x-rays.

Results: We found 97 sensitivity and 96 specificity of the sonographic evaluation. Fractures with dislocations and more serious clinical consequences were never missed.

Conclusion: Musculoskeletal ultrasound is a very effective tool in daily routine for diagnosing or excluding pediatric wrist fractures. Orv Hetil. 2017; 158(24): 944-948.

Keywords: csuklótörés; gyermekkor; pediatric; sonography; ultrahang; wrist fracture.

MeSH terms

  • Adolescent
  • Child
  • Child, Preschool
  • Female
  • Forearm Injuries / diagnostic imaging*
  • Humans
  • Infant
  • Infant, Newborn
  • Male
  • Prospective Studies
  • Radius Fractures / diagnostic imaging*
  • Reproducibility of Results
  • Sensitivity and Specificity
  • Ultrasonography / methods*