Comparing ultrasonography with plain radiography in the diagnosis of paediatric long-bone fractures

International Orthopaedics
Akinola AkinmadeAdeolu Adeyeye

Abstract

Paediatric long-bone fractures are commonly seen in the emergency department, and diagnosis is usually confirmed by conventional radiographs. This entails exposure to ionizing radiation with its attendant possible carcinogenic and teratogenic effects. Ultrasonography provides a potentially safer diagnostic alternative and may be cheaper, more readily available, and user-friendly. This study aimed to establish the applicability of ultrasound scanning compared with plain radiography in fracture diagnosis. This prospective observational study documented fracture characteristics using plain radiographs and compared these with findings on ultrasound assessment of same fractures at the time of injury. Scans were repeated at week three and week six to monitor treatment in those whom the mode of treatment did not preclude scanning. Outcome measures were compared for relationships including sensitivity and specificity as well as overall predictive values. The age range of the 62 subjects enrolled was one to 15 years and the male to female ratio was 1.8:1. Plain radiographs diagnosed 52 fractures and 50 of these were recognized on ultrasound. The two false-negative ultrasound scans were noted in metaphyseal humeral fractures. Overall sen...Continue Reading

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Citations

Mar 23, 2021·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Peter J SnellingRobert S Ware
Jun 9, 2020·The American Journal of Emergency Medicine·Po-Yang TsouJulia K Deanehan
Nov 5, 2021·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·Esperanza NaredoDaniela Fodor

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