Ultrasound diagnosis of juvenile forearm fractures

Ackermann, O.; Liedgens, P.; Eckert, K.; Chelangattucherry, E.; Ruelander, Christian; Emmanouilidis, Ioannis; Ruchholtz, Steffen

doi:10.1007/s10396-010-0263-x

Cited by 20 publications

(22 citation statements)

References 24 publications

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“…In contrast, Eckert et al (24) recommend ultrasound as a viable alternative for diagnosing pediatric forearm fractures and report that it can satisfactorily identify dislocations and angulation of fractures, in addition to its high diagnostic value. Ackermann et al (7,18) report that ultrasound can reliably be used to evaluate axis deviation in pediatric fractures of the forearm and proximal humerus; Yesilaras et al (32) report the same finding for metacarpal fractures. According to Kozaci et al, treatment decisions for forearm and metacarpal fractures made on the basis of ultrasound examinations alone match those made on the basis of x-ray images (34,35).…”

Section: The Clinical Perspectivementioning

confidence: 91%

The Investigation of Suspected Fracture— a Comparison of Ultrasound With Conventional Imaging

Schmid¹,

Lippmann²,

Unverzagt³

et al. 2017

Deutsches Ärzteblatt International

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Section: The Clinical Perspectivementioning

confidence: 91%

The Investigation of Suspected Fracture— a Comparison of Ultrasound With Conventional Imaging

Schmid¹,

Lippmann²,

Unverzagt³

et al. 2017

Deutsches Ärzteblatt International

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“…[1][2][3][4][5][6][7][8][9][10][11][12][13][14] Sensitivity and specificity of POC US is good, but highly variable. For long-bone sonography in trauma resuscitations, pitfalls include the presence of cortical irregularities resulting in ultrasound signal scatter, resulting in a degraded image and interfering with interpretation of the scan, and artifacts generated by pathologic bone, which can also degrade image quality.…”

Section: Review Of the Literaturementioning

confidence: 95%

Femur Fracture Diagnosis and Management Aided by Point-of-Care Ultrasonography

Ali

Solomon

Hoffman

2016

Pediatric Emergency Care

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We describe a point-of-care ultrasonography to facilitate diagnosis of a femur fracture in a 13-year-old adolescent boy. Rapid detection of the fracture, which was not possible by physical examination alone, permitted immediate stabilization of the leg with traction, rapid communication with orthopedic surgeons, and facilitated analgesic therapy before transport and movement to obtain radiographs.

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“…Point‐of‐care ultrasound has increasing utility in the diagnosis of paediatric distal forearm fractures given that it is rapid, accurate, non‐invasive, has minimal ongoing cost and does not emit ionising radiation . Most protocols for distal forearm fractures involve using a high‐frequency linear probe at the maximal point of tenderness to evaluate the distal radius and ulna using six orthogonal views, analogous to anteroposterior, posteroanterior and lateral radiograph views, with comparison of the same views on the unaffected side (Figure ) . Bone cortex appears as a bright echogenic line with posterior acoustic shadowing, as bone attenuates transmission and reflects the sound waves back to the transducer .…”

Section: Introductionmentioning

confidence: 99%

“…(Image reproduced) Transducer Placement for Six‐view Ultrasound Protocol of Distal Forearm Fractures …”

Section: Introductionmentioning

confidence: 99%

A low‐cost ultrasound model for simulation of paediatric distal forearm fractures

Snelling

2018

Australas J Ultrason Med

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Background: Forearm injuries are a common presentation to the emergency department. Point-of-care ultrasound has been demonstrated to be an accurate and well-tolerated tool in the diagnosis of non-angulated paediatric distal forearm fractures. Ultrasound model simulation is a practical alternative for ultrasound education. Aims: To describe the construction and validation of a low-cost ultrasound model for the simulation of non-angulated paediatric buckle and greenstick distal forearm fractures, for the educational instruction of healthcare providers. Materials & Methods:The materials for the basic paediatric fracture model include turkey or chicken bones soaked in white vinegar to make them pliable, food-grade gelatine and plastic containers. The fidelity can be improved by using synthetic gelatine set in a cylindrical mould, which can be placed within a manikin forearm. Results: The models were validated by five paediatric emergency nurse practitioners and five paediatric emergency physicians. All participants were able to correctly identify the fracture types. All participants rated the models highly for both realism and educational value, with a preference for the turkey bone model as a better representation of buckle fractures. Discussion: The ultrasound model described in this article can be made from low-cost materials that can be easily sourced, which facilitates the identification of the different paediatric fracture subtypes, with the additional advantage of not causing discomfort to a child. A limitation of this model includes its inability to simulate the radiolucent epiphysis and represent Salter-Harris fracture subtypes. Conclusion: This low-cost, high-fidelity ultrasound model presents both an accurate and practical educational model for training healthcare providers, with a preference towards the turkey bone model.

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Ultrasound diagnosis of juvenile forearm fractures

Abstract: Ultrasound seems to be a valuable and safe alternative to X-ray diagnosis.

Cited by 20 publications

References 24 publications

The Investigation of Suspected Fracture— a Comparison of Ultrasound With Conventional Imaging

The Investigation of Suspected Fracture— a Comparison of Ultrasound With Conventional Imaging

Femur Fracture Diagnosis and Management Aided by Point-of-Care Ultrasonography

A low‐cost ultrasound model for simulation of paediatric distal forearm fractures

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