Ultrasound diagnosis of supracondylar fractures in children

Eckert, K.; Janssen, N.; Ackermann, O.; Schweiger, Bernd; Radeloff, E.; Liedgens, P.

doi:10.1007/s00068-013-0306-2

Cited by 29 publications

(24 citation statements)

References 39 publications

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“…8 ). For fractures close to joints, POCUS is an ideal tool to seek for signs of occult fractures, such as elevated fat pad and associated hematoma [ 28 ] (Fig. 9 ).…”

Section: Long Bone Fracturementioning

confidence: 99%

An overview of point-of-care ultrasound for soft tissue and musculoskeletal applications in the emergency department

et al. 2016

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BackgroundThe skin, soft tissue, and most parts of the musculoskeletal system are relatively superficial anatomical structures and ideal targets for ultrasound examination in the emergency departments. Soft tissue and musculoskeletal ultrasound applications are relatively underused compared to traditional emergency applications, such as trauma, abdominal aortic aneurysm, and chest and cardiovascular systems.Main textIt is important to have knowledge about sonoanatomy and landmarks within the skin, soft tissue, and musculoskeletal systems. Portable machines equipped with high-resolution transducers are now available to fulfill this field of applications in many emergency departments. After needling practice, emergency physicians can not only diagnose and identify pathological findings but also provide interventional procedures and treatments. In this review, we will introduce point-of-care ultrasound (POCUS) applications regarding the soft tissue and musculoskeletal systems: soft tissue infections, joint effusions, foreign bodies, long bone fractures, muscle and tendon injuries, vascular occlusions, and procedures.ConclusionsWith POCUS, emergency physicians can visualize the structures beneath the skin and provide better and safer cares in the emergency departments.Electronic supplementary materialThe online version of this article (doi:10.1186/s40560-016-0173-0) contains supplementary material, which is available to authorized users.

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“…8 ). For fractures close to joints, POCUS is an ideal tool to seek for signs of occult fractures, such as elevated fat pad and associated hematoma [ 28 ] (Fig. 9 ).…”

Section: Long Bone Fracturementioning

confidence: 99%

An overview of point-of-care ultrasound for soft tissue and musculoskeletal applications in the emergency department

et al. 2016

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“…Ultrasound is less expensive and more readily available than MRI and arthrography but requires significant expertise in performing and interpreting the examination, similar to arthrography, and is not typically considered a modality of choice for diagnosing bony injuries. However, ultrasound has been shown to be equivocal to diagnosing supracondylar humerus fractures in patients between 1 and 14 years of age [10] .…”

Section: Discussionmentioning

confidence: 99%

Salter-Harris I fracture of the distal humerus in a neonate: imaging appearance of radiographs, ultrasound, and arthrography

Beckmann

Crawford

2017

Radiology Case Reports

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Neonatal Salter-Harris I fractures of the distal humerus are a rare injury. This injury can be easily mistaken for a posterior elbow dislocation, creating a delay in diagnosis. We present a case of a neonate with a distal humerus Salter-Harris I fracture secondary to trauma during delivery. The patient presented with pseudoparesis of the left arm following birth. Posterior displacement of the elbow was identified on radiographs. Ultrasound of the elbow was performed after a gentle closed reduction of the left elbow was unsuccessful. A transphyseal supracondylar distal humerus fracture was identified on ultrasound. The patient subsequently had an intraoperative left elbow arthrogram to assist in visualization of the supracondylar fracture during closed reduction and percutaneous pinning. At 2-month follow-up, the patient was neurologically intact with full passive range of motion and had normal alignment of the capitellar ossification center and distal humerus on follow-up radiographs.

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“…Fractures could be sonographically identified along with subperiosteal hematomas, deformities, cortical disruption, and reverberating echoes [ 18 ]. Several researches demonstrated high sensitivity (86.6%–97%) and specificity (86.6%–100%) for fractures of the forearm bone and humerus [ 12 , 13 , 19 ]. In radial neck fractures, the reverberating echo of the radial head is clearly visible and allows for easy assessment of the angulation (Fig.…”

Section: Discussionmentioning

confidence: 99%

Ultrasonography-guided reduction of pediatric radial neck fractures

Lee

Kim

Choi

2017

BMC Musculoskelet Disord

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BackgroundTreatment of displaced and angulated radial neck fractures in children is controversial and challenging. Numerous studies have been conducted regarding treatment algorithms and surgical techniques that use fluoroscopy. However, ultrasonography (US)-guided reduction of pediatric radial neck fractures has not been reported yet. We aimed to determine the safety and efficacy of US-guided reduction and fixation of radial neck fractures in children.MethodsAmong 28 cases of radial neck fracture from 2014 to 2016, 12 were classified as type III or IV according to the Judet classification. All 12 patients underwent US-guided reduction and percutaneous fixation with Kirschner wire and follow-up for more than 6 months. US was used primarily to monitor the angulation and reduction of the radial neck. Fluoroscopy was applied to confirm the fixation with Kirschner wire. Dose area product (DAP; mGy/cm2) was measured to assess per-procedure radiation dose. Radiological and clinical results were evaluated at 6 months after the surgery by using the Metaizeau criteria.ResultsOf the patients, 4 were boys and 8 were girls, with a mean age of 7.7 years (range, 5–11 years). Judet type III fractures accounted for 83% of all injuries. The mean preoperative radial angulation was 62.5° (range: 46°–76°). The mean postoperative radial angulation was 5.6° (range: 2°–9°). The mean fluoroscopy time was 31 s (range: 10–73 s), and the mean DAP was 10.7 mGy/cm2 (range: 7.2–18.7 mGy/cm2). The mean follow-up period was 18.3 months (range, 8–24 months). According to the Metaizeau criteria, 10 cases were excellent and 2 cases were good at the last follow-up.ConclusionsUS-guided reduction and percutaneous fixation is safe and reliable option to treat displaced radial neck fractures in children.

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Ultrasound diagnosis of supracondylar fractures in children

Cited by 29 publications

References 39 publications

An overview of point-of-care ultrasound for soft tissue and musculoskeletal applications in the emergency department

An overview of point-of-care ultrasound for soft tissue and musculoskeletal applications in the emergency department

Salter-Harris I fracture of the distal humerus in a neonate: imaging appearance of radiographs, ultrasound, and arthrography

Ultrasonography-guided reduction of pediatric radial neck fractures

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