Bedside ultrasound diagnosis of clavicle fractures in the pediatric emergency department

Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine
Keith CrossRonald I Paul

Abstract

Clavicle fractures are among the most common orthopedic injuries in children. Diagnosis typically involves radiographs, which expose children to radiation and may consume significant time and resources. Our objective was to determine if bedside emergency department (ED) ultrasound (US) is an accurate alternative to radiography. This was a prospective study of bedside US for diagnosing clavicle fractures. A convenience sample of children ages 1-18 years with shoulder injuries requiring radiographs was enrolled. Bedside US imaging and an unblinded interpretation were completed by a pediatric emergency physician (EP) prior to radiographs. A second interpreter, a pediatric EP attending physician with extensive US experience, determined a final interpretation of the US images at a later date. This final interpretation was blinded to both clinical and radiography outcomes. The reference standard was an attending radiologist's interpretation of radiographs. The primary outcome was the accuracy of the blinded US interpretation for detecting clavicle fractures compared to the reference standard. Secondary outcome measures included the interrater reliability of the unblinded bedside and the blinded physicians' interpretations and the FAC...Continue Reading

References

Jan 1, 1988·Pediatric Radiology·M GraifY Itzchak
Jan 1, 1988·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·R KatzJ Bar-Ziv
Jul 25, 1998·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·S O HendersonD Chan
Aug 26, 1998·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·S W BurgherM R Dawdy
Jun 17, 1999·Pediatric Surgery International·E BlabA Rokitansky
Dec 29, 2000·The Journal of Bone and Joint Surgery. British Volume·U HübnerH Halsband
May 23, 2002·Der Orthopäde·W GrechenigG Peicha
Feb 15, 2003·The Journal of Bone and Joint Surgery. British Volume·Ralph KayserHenning Grasshoff
Jun 27, 2003·Clinics in Sports Medicine·Kyle Anderson
Jul 3, 2003·Archives of Orthopaedic and Trauma Surgery·N K Sferopoulos
Nov 12, 2003·Proceedings of the National Academy of Sciences of the United States of America·David J BrennerMarco Zaider
May 13, 2004·The American Journal of Emergency Medicine·Daniel TheodoroMichael Lucas
Jul 5, 2005·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Benjamin T SquireCraig Anderson
Aug 13, 2005·Critical Care Medicine·Philippe VignonHervé Gastinne
Oct 22, 2005·Pediatric Radiology·Don SoboleskiDavid Manson
Mar 14, 2007·Pediatric Emergency Care·Lei Chen, M Douglas Baker
Jul 6, 2007·CJEM·J LandineW Pickett
Aug 30, 2007·Pediatric Emergency Care·Lei ChenChristopher L Moore
Feb 29, 2008·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Lei Chen
Jun 3, 2008·Ultraschall in der Medizin : Organ der Deutschen Gesellschaft für Ultraschall in der Medizin, [der] Österreichischen Gesellschaft für Ultraschall in der Medizin, [der] Schweizerischen Gesellschaft für Ultraschall in Medizin und Biologie·J D MoritzG F Alzen
Dec 4, 2009·Oncogene·D Williams

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Citations

Nov 10, 2011·Pediatric Emergency Care·Frances M Chaar-AlvarezRonald I Paul
Nov 10, 2011·Pediatric Emergency Care·Ming ChienLee S Segal
Apr 26, 2012·Pediatric Emergency Care·Antonio Riera, Lei Chen
Nov 2, 2012·Pediatric Emergency Care·Isabel BarataAndrew Sama
Mar 19, 2014·The American Journal of Emergency Medicine·Jennifer Ruskis, Tobias Kummer
Aug 7, 2013·Emergency Medicine Clinics of North America·Kimberly Leeson, Ben Leeson
May 15, 2012·The Journal of Emergency Medicine·Niccolò ParriKevin Michael Ban
Apr 11, 2013·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Nikita JoshiRichard Sinert
Mar 31, 2015·Clinical and Experimental Emergency Medicine·Jung-Heon KimJeong-Min Ryu
Mar 26, 2015·Annals of Emergency Medicine·Jennifer R MarinUNKNOWN World Interactive Network Focused on Critical Ultrasound Board of Directors reviewers
Jul 12, 2016·The American Journal of Emergency Medicine·Salih KocaoğluŞervan Gökhan
Jul 22, 2014·British Journal of Hospital Medicine·A H MatthewsJ E Metcalfe
Sep 12, 2018·JBJS Reviews·Elizabeth B Gausden, Peter D Fabricant
Sep 20, 2017·Pediatric Emergency Care·John AdamichMark Camp
Mar 2, 2016·Pediatric Emergency Care·Afrah A W AliRobert J Hoffman
Apr 27, 2018·Pediatric Emergency Care·Jea Yeon ChoiJin Seong Cho
Jun 3, 2020·The Journal of the American Academy of Orthopaedic Surgeons·Jody LitrentaPablo Castaneda
Oct 4, 2020·The Laryngoscope·Emre GökçenGökhan Yıldırım
Aug 28, 2012·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Jennifer R MarinJeremy M Kahn
Nov 5, 2016·Critical Ultrasound Journal·Jennifer R MarinResa E Lewiss
Apr 2, 2016·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Sirote WongwaisayawanRathachai Kaewlai
Aug 10, 2020·The Journal of the American Academy of Orthopaedic Surgeons·Jody LitrentaPablo Castaneda
Dec 6, 2017·Deutsches Ärzteblatt International·Gordian Lukas SchmidThomas Frese
Oct 25, 2020·Ultrasound in Medicine & Biology·Costantino CaroselliAntonio Francesco Urbino
Jun 9, 2020·The American Journal of Emergency Medicine·Po-Yang TsouJulia K Deanehan
Jul 5, 2021·The American Journal of Emergency Medicine·Mark Serpico, Spencer Tomberg

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