Sonographische Beurteilung von supracondylären Humerusfrakturen

Abstract

The longitudinal sections of the first compartment (standard sections) together with the two newly added dorsal radial and ulnar sections improved the diagnosis of supracondylar fractures of the humerus. The primarily unsatisfactory results could be improved by introduction of these additional sections, which are now recommended as standard sections of ultrasound application. Having acquired sufficient experience, the method can be used as a screening method for primary diagnosis and documentation of supracondylar fractures.

Ultraschall in der Kindertraumatologie

“…Das Ellenbogengelenk wird von drei Knochen mit mehreren altersabhängig ausgereiften Knochenkernen gebildet. Eine differenzierte sonografische Frakturbeurteilung erfordert viel Zeit und Erfahrung 27 , zudem wäre sie für den Patienten in der Akutsituation schmerzhaft. Daher hat es sich durchgesetzt, nicht den Versuch der vollständigen sonografischen Diagnostik zu unternehmen, sondern mittels einer dorsomedianen Longitudinalebene entsprechend dem Algorithmus Ellbow-SAFE 23 , 26 (s. Tab.…”

Slipped Distal Humerus Epiphysis in Tiny Infants Easily Detected and Followed-Up by Ultrasound

“…The characteristic postero-medial displacement of the distal humerus epiphysis associated with this kind of lesion was first emphasized by Valdiserri and Kelescian [2 -6], and is still confirmative if seen in any elbow X-ray, arthrogram or ultrasound scan [3, 4, 6 -8]. According to some authors, this type of fracture separation in young infants is still described as an uncommon variant of the well-known pediatric supracondylar humerus fracture [3,4,9]. Sound knowledge of the sequence of appearance of the elbow ossification centers is essential for correct diagnosis, since at birth none of the four distal humerus epiphysis ossification centers found at the termination of growth are visible.…”

“…This is best possible using coronal and sagittal ultrasound planes, with the coronal sections showing medial or lateral displacement and the sagittal sections depicting any anterior or posterior shift [7,10,17,27]. These cross sections form an integral part of the DEGUM (German Association of Ultrasound in Medicine) guidelines [9] and have been used accordingly. Since these ultrasound sections permit direct evaluation of the osseous and cartilagi-nous surface, or soft tissue lesion and fluid collection simultaneously, their application seems to be especially advantageous for newborns and birth trauma.…”