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SonoKids TRAUMA fracture

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21 papers 0 to 25 followers
Samuel Racine, David Drake
A shortcut review was carried out to establish whether ultrasound is an effective diagnostic tool for the diagnosis of sternal fractures. 27 papers were found of which 4 presented the best evidence to answer the clinical question. The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of these best papers are tabulated. The clinical bottom line is that in patients with blunt thoracic injury and suspected isolated sternal fracture, ultrasound seems superior to conventional radiology to diagnose sternal fracture...
December 2015: Emergency Medicine Journal: EMJ
Bobby M Wellsh, Jerzy M Kuzma
BACKGROUND: Pediatric forearm fractures are a common presentation in emergency departments in Papua New Guinea. Often these children undergo "blind" closed reduction with reduction adequacy assessed by standard radiographs. This study aims to demonstrate the safety and efficacy of ultrasound (US) in guiding closed reduction of pediatric forearm fractures in a resource-limited setting. METHODS: We recruited consecutive children with closed forearm fractures requiring reduction...
January 2016: American Journal of Emergency Medicine
K Eckert, O Ackermann
BACKGROUND: In clinically suspected fractures taking radiographs is the standard procedure but the indications should be strictly limited. Ultrasound offers a safe and radiation-free alternative for fracture diagnostics. OBJECTIVES: Sensitivity and specificity of sonographic fracture diagnostics and safety of sonographic algorithms for fracture evaluation. METHODS: Presentation of useful applications for sonographic fracture evaluation and establishment of sonographic algorithms for safe fracture diagnosis...
November 2015: Der Radiologe
Nalan Kozaci, Mehmet Oguzhan Ay, Mehmet Akcimen, Ikbal Sasmaz, Gokcen Turhan, Ali Boz
OBJECTIVE: We aimed to compare the effectiveness of point-of-care ultrasonography (POCUS) with direct radiography (DR) in the diagnosis and management of the patients with metacarpal fractures (MFs). METHODS: Patients between ages 5 and 55 years admitted to the emergency department with suspected MFs were included to the study. Emergency physicians (EPs) participating in the study were divided into 2 groups (POCUS, DR). Patients were evaluated by one of the EPs from each group...
October 2015: American Journal of Emergency Medicine
Benjamin Dallaudière, Ahmed Larbi, Mathieu Lefere, Anne Perozziello, Olivier Hauger, Florence Pommerie, Bénédicte Fraboulet, Denis Jacob
BACKGROUND: Ultrasound (US) is a good first-line alternative for the diagnosis of bone fractures in adults as well as children. Our study shows that, compared to X-ray, in a resource-constrained environment, on-site US has a high sensitivity (98%) and specificity (96%) in the diagnosis of bone fractures. PURPOSE: To compare the accuracy of on-the-spot US with conventional radiography in the screening for bone fractures during the Paris-Dakar rally raid. MATERIAL AND METHODS: Eighty-three patients (81 men, 2 women) with clinically suspected bone fractures were included in 2013 and 2014...
May 2015: Acta Radiologica Open
Mark O Tessaro, Terrance R McGovern, Eitan Dickman, Lawrence E Haines
In cases of traumatic wrist pain, emergency physicians must maintain a high index of suspicion for scaphoid fractures due to their potential for serious complications. A growing body of literature supports the use of point-of-care ultrasonography by emergency physicians in the evaluation of potential fractures. We report a case of a pediatric scaphoid fracture that was initially not visualized on x-ray and was subsequently detected using point-of-care ultrasound in the ED.
March 2015: Pediatric Emergency Care
Douglas F Hoffman, Erik Adams, Stefano Bianchi
High-resolution ultrasound is emerging as an important imaging modality in fracture assessment due to its availability, ease of use and multiplanar capabilities. Its usefulness includes injury assessment for the presence of a fracture when obtaining radiographs is not immediately available, detecting occult fractures not revealed on radiographs, and diagnosing bone stress injury before radiographic changes. Sonographic evaluation of bone, however, has limitations and should always be coupled with radiographs and possibly advanced imaging modalities such as CT and MR when clinically indicated...
February 2015: British Journal of Sports Medicine
Alexander Sasha Dubrovsky, Anna Kempinska, Ilana Bank, Elise Mok
STUDY OBJECTIVE: The primary objective of this study is to assess the accuracy of point-of-care ultrasonography compared with blinded orthopedic assessment of fluoroscopy in determining successful realignment of pediatric forearm fractures. The secondary objective is to determine the rate of agreement of ultrasonography and fluoroscopy in real-time by the treating physician. METHODS: A cross-sectional study was conducted in children younger than 18 years and presenting to an academic emergency department with forearm fractures requiring realignment of a single bone...
March 2015: Annals of Emergency Medicine
Nalan Kozaci, Mehmet Oguzhan Ay, Mehmet Akcimen, Gokcen Turhan, Ikbal Sasmaz, Sadullah Turhan, Ahmet Celik
OBJECTIVE: The aim of the study was to compare the effectiveness of point-of-care ultrasound (POCUS) with direct radiography in diagnosis and management of the patients with distal radius fractures (DRFs). METHODS: In this study, patients between ages 5 and 55 years admitted to the emergency department with low energy upper extremity trauma with suspected DRF were evaluated with POCUS and direct radiography by emergency physicians (EPs) trained in either musculoskeletal (MSK) imaging or x-ray interpretation of DRF...
January 2015: American Journal of Emergency Medicine
Lorraine Ng, Turandot Saul, Resa E Lewiss
BACKGROUND: There are limited data on the sonographic evaluation of normative physeal plate measurements in healthy, uninjured children. OBJECTIVES: This study aimed to determine baseline measurements in physeal plate widths and to assess variation in the measured widths among contralateral sides, age group, and sex in healthy, uninjured children. METHODS: This was a prospective observational study of a convenience sample of healthy patients between 0 and 12 years of age presenting to the pediatric emergency department...
December 2014: Pediatric Emergency Care
Elena Neri, Egidio Barbi, Ingrid Rabach, Chiara Zanchi, Stefania Norbedo, Luca Ronfani, Veronica Guastalla, Alessandro Ventura, Pierpaolo Guastalla
OBJECTIVE: Hand fractures are common in childhood, and radiography is the standard diagnostic procedure. US has been used to evaluate bone injuries, mainly in adults for long-bone trauma; there are only a few studies about hand fractures in children. The purpose of this study was to evaluate and confirm the safety and applicability of the US diagnostic procedure in comparison to X-ray diagnosis. STUDY DESIGN: This cross-sectional study involved a convenience sample of young patients (between 2 and 17 years old) who were taken to the emergency department due to hand trauma...
December 2014: Archives of Disease in Childhood
Maria Y Kwok, Ken Yen, Shireen Atabaki, Kathleen Adelgais, Madelyn Garcia, Kimberly Quayle, Joshua Kooistra, Bema K Bonsu, Kent Page, Dominic Borgialli, Nathan Kuppermann, James F Holmes
STUDY OBJECTIVE: Plain anteroposterior pelvic radiographs are commonly used to screen children for pelvic fractures or dislocations after blunt torso trauma. The test sensitivity and utility, however, are unclear. We assessed the sensitivity of anteroposterior pelvic radiographs for identifying children with pelvic fractures or dislocations after blunt torso trauma. We hypothesized that anteroposterior pelvic radiographs fail to identify all children with pelvic fractures or dislocations, including patients undergoing operative intervention and those with hypotension...
January 2015: Annals of Emergency Medicine
Turandot Saul, Lorraine Ng, Resa E Lewiss
Patients commonly present with orthopedic injuries to the emergency department (ED). Although radiographs are the standard of care for evaulating these injuries, point-of-care ultrasound is being increasingly used to make the diagnosis. This modality can be useful in patients who are too clinically unstable to leave the acute care ED and in nonverbal pediatric or geriatric patients who are unable to isolate their injuries. Published case series and prospective studies highlight the emergency physician's (EP) ability to detect fractures with point-of-care ultrasound with good accuracy...
September 2013: Medical Ultrasonography
Niccolò Parri, Bradley J Crosby, Casey Glass, Francesco Mannelli, Idanna Sforzi, Raffaele Schiavone, Kevin Michael Ban
BACKGROUND: Blunt head trauma is a common reason for medical evaluation in the pediatric Emergency Department (ED). The diagnostic work-up for skull fracture, as well as for traumatic brain injury, often involves computed tomography (CT) scanning, which may require sedation and exposes children to often-unnecessary ionizing radiation. OBJECTIVES: Our objective was to determine if bedside ED ultrasound is an accurate diagnostic tool for identifying skull fractures when compared to head CT...
January 2013: Journal of Emergency Medicine
Antonio Riera, Lei Chen
OBJECTIVE: The objective of this study was to investigate feasibility and evaluate test characteristics of bedside ultrasound for the detection of skull fractures in children with closed head injury (CHI). METHODS: This was a prospective, observational study conducted in a pediatric emergency department of an urban tertiary care children's hospital. A convenience sample of children younger than 18 years were enrolled if they presented with an acute CHI, and a computed tomography (CT) scan was performed...
May 2012: Pediatric Emergency Care
Ming Chien, Blake Bulloch, Pamela Garcia-Filion, Mostafa Youssfi, Michael W Shrader, Lee S Segal
OBJECTIVE: The objective of the study was to determine the diagnostic accuracy of pediatric emergency physicians in diagnosing clavicle fractures by bedside ultrasound (US). METHODS: This was a prospective study of pediatric emergency department (ED) patients with suspected clavicle fractures conducted in a tertiary-care, freestanding pediatric hospital. A convenience sample of patients younger than 17 years underwent bedside US for detection of clavicle fracture by pediatric emergency physicians with limited US training...
November 2011: Pediatric Emergency Care
Frances M Chaar-Alvarez, Fred Warkentine, Keith Cross, Sandra Herr, Ronald I Paul
OBJECTIVES: Ultrasound (US) may be a useful tool for rapidly diagnosing fractures. Our objective was to determine the accuracy of US as compared with radiographs in the detection of nonangulated distal forearm fractures. METHODS: Distal forearm US was performed and interpreted at the bedside by a pediatric emergency medicine physician before radiography in a prospective sample of children with possible nonangulated distal forearm fractures. A second pediatric emergency medicine physician with extensive US experience gave a final interpretation of the images...
November 2011: Pediatric Emergency Care
Daniela Ramirez-Schrempp, Robert J Vinci, Andrew S Liteplo
Bedside ultrasound has become a diagnostic tool that is commonly used in the emergency department. In trained hands, it can be used to diagnose multiple pathologies. In this case series, we describe the utility of ultrasound in diagnosing skull fractures in pediatric patients with scalp hematomas.
April 2011: Pediatric Emergency Care
Keith P Cross, Fred H Warkentine, In K Kim, Edward Gracely, Ronald I Paul
OBJECTIVES: 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. METHODS: 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...
July 2010: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
John G McManus, Melinda J Morton, Chad S Crystal, Todd J McArthur, Jeremy S Helphenstine, David A Masneri, Scott E Young, Michael A Miller
OBJECTIVE: There is a need to develop tools for the rapid diagnosis and treatment of fractures and intraosseous pathology in remote and austere environments. Several emergency and orthopedic studies have demonstrated ultrasound to be a reliable tool in diagnosing these conditions in both adult and pediatric patients. The purpose of this pilot study is to assess the ability of the ultrasound to assess in "real-time" the success of fracture reduction in adult patients in the emergency department (ED), in comparison with the accepted standard, plain film radiography, for the purposes of future application in austere environments...
July 2008: American Journal of Disaster Medicine
2014-05-16 04:52:04
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