![]() ![]() 2014 41(4):473–80.īurnier M, Buisson G, Ricard A, Cunin V, Pracros JP, Chotel F. Accuracy of the sonographic fat pad sign for primary screening of pediatric elbow fractures: a preliminary study. 2013 61(1):9–17.Įckert K, Ackermann O, Janssen N, Schweiger B, Radeloff E, Liedgens P. Accuracy of point-of-care ultrasonography for diagnosis of elbow fractures in children. Rabiner JE, Khine H, Avner JR, Friedman LM, Tsung JW. Philadelphia, PA: Lippincott Williams & Wilkins 2010. Textbook of pediatric emergency medicine. Epidemiology of pediatric upper extremity fractures in tertiary care center in Switzerland. ![]() Our results showed high diagnostic accuracy for the ultrasonography diagnosis of an elbow fracture, which allows us to confirm ultrasonography imaging of the elbow as a safe alternative in the primary evaluation of pediatric elbow injuries. In patients with fracture, US demonstrated a lipohaemarthrosis in 20 patients (71.4%), elevated posterior fat pad in 19 patients (67.9%), cortical disruption in 10 patients (35.7%), and effusion in three patients (10.7%). Twenty-eight (37.3%) patients had positive results for fracture. Seventy-five patients with a mean age of 6.51 ± 3.68 years were enrolled in the study. Initial or follow-up X-ray or CT scan was used as the reference standard for fracture diagnosis. All patients underwent elbow radiography and received clinical follow-up. Elbow US for diagnosing elevated posterior fat pad or lipohemarthrosis was performed. This was a prospective observational study of patients aged 2–14 years that presented to emergency departments with a suspected elbow fracture requiring radiographic evaluation. Previous studies have shown that fractures can also be visualized by ultrasound (US) thus, this study aimed to evaluate the diagnostic accuracy of elbow US compared with radiography for the diagnosis of elbow fracture in children. X-ray and CT scan of the elbow are the standard diagnostic procedures, which increase exposure to radiation in children. Elbow injuries and fractures are a common pathology in the pediatric emergency unit. ![]()
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