Aspect échographique des fractures des extrémités

Ultrasound Diagnosis of Either an Occult or Missed Fracture of an Extremity in Pediatric-Aged Children

“…Also, it is difficult to interpret radiographs as to whether a fracture is present or not; especially in the joint regions where growing bones are composed of unmineralized physis and cartilaginous ossification centers (1-4). Fractures account for 71% of the delayed diagnoses in pediatric trauma, with the extremities having the most common involvement (5).…”

“…In these situations, performing ultrasound (US) is helpful for the early diagnosis of both soft tissue and bone injuries, resulting in appropriate and timely management. The high reflectivity of US at the interface between the cortical bone and peri-osseous soft tissues can delineate the bone cortical outline and adjacent soft tissue changes at a fractured site (4, 6). US can be performed in young children without sedation, which is frequently required for MRI to prevent a motion artifact.…”