Surveillance ultrasonography for conservative treatment of femoral shaft fractures in young children

Gao, Hui; Wang, Zhaoxia; Su, Yuxi

doi:10.1186/s13018-020-02149-9

Cited by 5 publications

(5 citation statements)

References 26 publications

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“…In our work, in comparison with the k -wire group, the surgical-related indicators and elbow function of the Métaizeau group were signally superior. Based on US and arthrography, modified Métaizeau technique visually reduced the impact on children and improved surgical safety in children with radial neck fractures, accelerating the prognostic speed and effect of children [ 20 , 30 ]. In terms of postoperative complications incidence in two groups, the Métaizeau group was also signally superior.…”

Section: Discussionmentioning

confidence: 99%

Ultrasonography-Guided Combination with Elbow Arthrography-Assisted Minimally Invasive Treatment of Radial Neck Fractures in Young Children

et al. 2022

Computational and Mathematical Methods in Medicine

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Background. A radius neck fracture in children is a common fracture that not only affects the growth and development of children but also has a certain impact on the function of children’s elbow joints. Objective. To probe into the application value of ultrasonography- (US-) guided combination with elbow arthrography in the minimally invasive treatment of radial neck fractures in young children, summarize its clinical effect and provide a minimally invasive, safe, effective, and reliable method for treating radial neck fractures in young children. Methods. Seventy-three patients with type III or IV radial neck fractures were treated from June 2013 to December 2020 and were divided into the Métaizeau group ( n = 31 , treatment group) and Kirschner wire ( k -wire) k -wire group ( n = 42 , control group). The Métaizeau group was given US-guided combination with elbow arthrography-assisted modified Métaizeau technique, the k -wire group received open reduction and internal fixation with k -wire and compared the surgical effect of the two groups. Results. In comparison with the k -wire group, time of operation, intraoperative bleeding volume, and hospital stay were signally junior to those in the Métaizeau group ( P < 0.05 ). After surgery, in comparison with the k -wire group, the number of degrees to contralateral flexion or forearm rotation was visually lower in the Métaizeau group ( P < 0.05 ), and postoperative complication incidence in the Métaizeau group was visually lower than that in k -wire group ( P < 0.05 ). Conclusion. In the minimally invasive treatment of radial neck fractures, US-guided combination with elbow arthrography in young children has better efficacy and high safety. It can be widely promoted and applied clinically.

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Section: Discussionmentioning

confidence: 99%

Ultrasonography-Guided Combination with Elbow Arthrography-Assisted Minimally Invasive Treatment of Radial Neck Fractures in Young Children

et al. 2022

Computational and Mathematical Methods in Medicine

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“…It offers real-time visualization of fractures, evaluation of soft tissue injuries, and can guide interventions, especially in resource-limited settings or pre-hospital care. A study showed that in the pediatric patient population, surveillance ultrasonography can reduce radiation exposure to children with femoral shaft fracture closed reductions without increasing the complication rate [32].…”

Section: Future Directionsmentioning

confidence: 99%

Radiological Diagnosis and Imaging of Femoral Shaft Fractures

Miao,

Miao

2023

Anatomia

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Femoral shaft fractures (FSFs) are common orthopedic injuries, often resulting from high-energy trauma such as motor vehicle collisions, low-energy trauma, osteoporosis, or pathological conditions. They account for a significant portion of long bone fractures. Radiologic imaging plays a pivotal role in the diagnosis of these fractures, providing crucial information about fracture characteristics, associated injuries, and successful treatment and management planning. This paper provides a comprehensive review of the anatomy, pathophysiology, and classification systems of FSFs. Diagnostic imaging modalities, including radiograph, computed tomography (CT), and magnetic resonance imaging (MRI), and their essential roles are highlighted, driving treatment and management as well as prognosis for FSFs and illuminating the anatomical considerations that influence the choice of approach and fixation techniques. Radiological diagnosis and imaging of FSFs are vital for orthopedic surgeons, radiologists, and healthcare professionals involved in the care of patients with these injuries and optimizing patient outcomes.

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“…Femur: In femoral fractures in infancy treated conservatively with traction, it has been shown that follow-up ultrasound examinations can significantly reduce the number of radiographic examinations [42].…”

Section: Lower Extremitymentioning

confidence: 99%

Rational Usage of Fracture Imaging in Children and Adolescents

Kraus

Dresing

2023

Diagnostics

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In this paper, authors introduce the basic prerequisite for rational, targeted, and above all, child-oriented diagnosis of fractures and dislocations in children and adolescents is in-depth prior knowledge of the special features of trauma in the growth age group. This review summarizes the authors’ many years of experience and the state of the current pediatric traumatology literature. It aims to provide recommendations for rational, child-specific diagnostics appropriate to the child, especially for the area of extremity injuries in the growth age. The plain radiograph remains the indispensable standard in diagnosing fractures and dislocations of the musculoskeletal system in childhood and adolescence. Plain radiographs in two planes are the norm, but in certain situations, one plane is sufficient. X-rays of the opposite side in acute diagnostics are obsolete. Images to show consolidation after conservative treatment is rarely necessary. Before metal removal, however, they are indispensable. The upcoming diagnostical tool in pediatric trauma is ultrasound. More and more studies show that in elected injuries and using standardized protocols, fracture ultrasound is as accurate as plain radiographs to detect and control osseous and articular injuries. In acute trauma, CT scans have only a few indications, especially in epiphyseal fractures in adolescents, such as transitional fractures of the distal tibia or coronal shear fractures of the distal humerus. CT protocols must be adapted to children and adolescents to minimize radiation exposure. MRI has no indication in the detection or understanding of acute fractures in infants and children. It has its place in articular injuries of the knee and shoulder to show damage to ligaments, cartilage, and other soft tissues. Furthermore, MRI is useful in cases of remaining pain after trauma without radiological proof of a fracture and in the visualization of premature closure of growth plates after trauma to plan therapy. Several everyday examples of rational diagnostic workflows, as the authors recommend them, are mentioned. The necessity of radiation protection must be taken into consideration.

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Surveillance ultrasonography for conservative treatment of femoral shaft fractures in young children

Cited by 5 publications

References 26 publications

Ultrasonography-Guided Combination with Elbow Arthrography-Assisted Minimally Invasive Treatment of Radial Neck Fractures in Young Children

Ultrasonography-Guided Combination with Elbow Arthrography-Assisted Minimally Invasive Treatment of Radial Neck Fractures in Young Children

Radiological Diagnosis and Imaging of Femoral Shaft Fractures

Rational Usage of Fracture Imaging in Children and Adolescents

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