Universität zu Köln

Herren, C., Sobottke, R., Ringe, M. J., Visel, D., Graf, M., Mueller, D. and Siewe, J. (2015). Ultrasound-guided diagnosis of fractures of the distal forearm in children. Orthop. Traumatol.-Surg. Res., 101 (4). S. 501 - 506. MILANO: ELSEVIER MASSON. ISSN 1877-0568

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Abstract

Purpose: Distal radius and forearm fractures are injuries that are frequently seen in trauma surgery outpatient clinics. Usually, the wrist is X-rayed in 2 planes as standard diagnostic procedure. In contrast, we evaluate in our study the accuracy of ultrasonography (US) in diagnosing these fractures. Methods: This prospective study includes the patients who presented at two trauma surgery clinics with a presumptive diagnosis of distal radius or forearm fracture between January and December 2012. After a clinical examination, US imaging of the distal forearm was first carried out on 6 standardized planes followed by radiographs of the wrist made in two planes. The age limit was set at the end of 11 years. Results: In total, 201 patients between 4 and 11 years of age were recruited with an average age of 9.5 years at the time of the trauma. There were 104 (51.7%) fractures distributed as follows: 89(85.9%) injuries of the distal radius, 9(8.7%) injuries of the distal ulna, and 6(5.8%) combined injuries (radius and ulna). Sixty-five greenstick fractures were detected. Surgery was necessary in 34 cases. Specificity and sensitivity of ultrasound diagnosis were 99.5%. Conclusion: Ultrasound imaging is suitable to demonstrate fractures of the distal forearm. It is a highly sensitive procedure in detecting distal forearm fractures. In our opinion, a negative result in ultrasound may reduce the need for further radiographs in children with distal forearm lesions. But in any doubtful situation the need for conventional radiographs remains. Level of evidence: Level III. Prospective study. (C) 2015 Elsevier Masson SAS. All rights reserved.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Herren, C. UNSPECIFIED UNSPECIFIED UNSPECIFIED Sobottke, R. UNSPECIFIED UNSPECIFIED UNSPECIFIED Ringe, M. J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Visel, D. UNSPECIFIED UNSPECIFIED UNSPECIFIED Graf, M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Mueller, D. UNSPECIFIED UNSPECIFIED UNSPECIFIED Siewe, J. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-402112
DOI:	10.1016/j.otsr.2015.02.010
Journal or Publication Title:	Orthop. Traumatol.-Surg. Res.
Volume:	101
Number:	4
Page Range:	S. 501 - 506
Date:	2015
Publisher:	ELSEVIER MASSON
Place of Publication:	MILANO
ISSN:	1877-0568
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language BEDSIDE ULTRASOUND; RADIUS FRACTURES; REDUCTION; ULTRASONOGRAPHY; JOINT Multiple languages Orthopedics; Surgery Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/40211