Could Ultrasound Be Used as a Triage Tool in Diagnosing Fractures in Children? A Literature Review.
children
fractures
imaging
musculoskeletal ultrasound
ultrasound
Journal
Healthcare (Basel, Switzerland)
ISSN: 2227-9032
Titre abrégé: Healthcare (Basel)
Pays: Switzerland
ID NLM: 101666525
Informations de publication
Date de publication:
29 Apr 2022
29 Apr 2022
Historique:
received:
24
03
2022
revised:
19
04
2022
accepted:
27
04
2022
entrez:
28
5
2022
pubmed:
29
5
2022
medline:
29
5
2022
Statut:
epublish
Résumé
Fracture is one of the most frequent causes of emergency department visits in children, conventional radiography being the standard imaging tool used for following procedures and treatment. This imagistic method is irradiating and harmful, especially for children due to their high cell division rate. For this reason, we searched the literature to see if musculoskeletal ultrasound is a good alternative for diagnostic and follow-up regarding fractures in the pediatric population. After searching the databases using MeSH terms and manual filters, 24 articles that compare X-ray and ultrasound regarding their specificity and sensitivity in diagnosing fractures were included in this study. In the majority of the studied articles, the specificity and sensitivity of ultrasound are around 90-100%, and with high PPVs (positive predictive values) and NPVs (negative predictive values). Although it cannot replace conventional radiography, it is a great complementary tool in fracture diagnosis, having a sensitivity of nearly 100% when combined with clinical suspicion of fracture, compared with X-ray.
Identifiants
pubmed: 35627960
pii: healthcare10050823
doi: 10.3390/healthcare10050823
pmc: PMC9141044
pii:
doi:
Types de publication
Journal Article
Review
Langues
eng
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