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Standardized sonographic examination of pediatric elbow injuries is an effective screening method and improves diagnostic efficiency

Injury Mar 10, 2020

Varga M, et al. - Via this prospective diagnostic study, researchers aimed at validating the efficacy of a five-point sonographic point of care method for identifying different pediatric elbow fractures or dislocations. They enrolled 365 children (age 1-14) with suspected closed elbow injury from 2016 January to 2017 March. A properly trained resident and two orthopedic surgeons performed sonographic point of care examination immediately following physical survey. The standardized five-point sonographic examination was used. Following sonography, two plane x-rays were made according to protocol. Among the 365 cases, 165 showed positive findings (45, 2%) on primary x-rays. In this work, sufficient information for eliminating or establishing the presence of any pediatric elbow fractures or dislocations was gained using the five-point ultrasonic examination. This approach is identified as speedy, simple and as possibly applicable for immediate differentiation of the severity of injuries. For the detection of potential occult fractures, there appeared the higher sensitivity of sonographic lipohaemarthrosis vs elevated fat pad sign. They recommend clearing positive cases using x-rays as only ultrasound cannot unveil the exact nature of the fractures.
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