Basic Differences and Most Common Findings in Ultrasound Examinations of Musculoskeletal System in Children: A Narrative Literature Review

Poboży, Tomasz; Konarski, Wojciech; Piotrowska-Lis, Karolina; Domańska, Julia; Poboży, Kamil; Kielar, Maciej

doi:10.3390/healthcare10102010

Cited by 4 publications

(3 citation statements)

References 49 publications

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“…Nasal bones in younger children are less prominent and not fully ossified. The ongoing process of ossification results in anatomical variations during different stages of childhood, potentially contributing to the increased difficulty of utilizing ultrasonography for fracture detection [ 23 ]. Additionally, a study involving 423 patients with nasal bone fractures revealed significant differences in the most prevalent fracture types between children under 12 years old and adults.…”

Section: Discussionmentioning

confidence: 99%

Diagnostic utility of ultrasound in pediatric nasal bone fractures: a systematic review and meta-analysis

Hassankhani,

Amoukhteh,

Jannatdoust

et al. 2024

Emerg Radiol

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Ultrasonography, a radiation-free and cost-effective modality, stands out as a promising tool for evaluating nasal bone fractures. Despite limited literature on its pediatric application, there is an increasing recognition of its potential to enhance diagnostic precision. To evaluate the diagnostic efficacy of ultrasound in detecting pediatric nasal bone fractures. Employing established guidelines, a systematic review and meta-analysis were conducted through a comprehensive literature search in PubMed, Scopus, Web of Science, and Embase databases until December 5, 2023. Inclusion criteria encompassed studies reporting diagnostic accuracy measures of ultrasound in pediatric patients with nasal bone fractures. Data extraction and analysis were undertaken for the selected studies. Involving four studies with 277 patients, ultrasound demonstrated a pooled sensitivity of 66.1% (95% CI: 35.1-87.5%) and specificity of 86.8% (95% CI: 80.1-91.4%) in diagnosing pediatric nasal fractures. The area under the receiver operating characteristic curve (AUC) was 0.88 (95% CI: 0.72–0.93). After excluding an outlier study, sensitivity and specificity increased to 78.0% (95% CI: 65.6-86.9%) and 87.8 (95% CI: 78.1-93.6%), respectively, with an AUC of 0.79 (95% CI: 0.75–0.94). Pooled positive and negative likelihood ratios were 5.11 (95% CI: 2.12–9.15) and 0.40 (95% CI: 0.14–0.77) before exclusion and 6.75 (95% CI: 3.47–12.30) and 0.26 (95% CI: 0.15–0.40) after exclusion of an outlier study, respectively. This study highlighted ultrasonography’s utility in diagnosing pediatric nasal bone fractures with high accuracy and specificity. However, caution is advised in relying solely on ultrasound due to suboptimal overall diagnostic performance, evident in likelihood ratios.

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Section: Discussionmentioning

confidence: 99%

Diagnostic utility of ultrasound in pediatric nasal bone fractures: a systematic review and meta-analysis

Hassankhani,

Amoukhteh,

Jannatdoust

et al. 2024

Emerg Radiol

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“…US examination of the musculoskeletal system differs (anatomically and histologically) between children [ 27 ], adults and elderly people. For instance, while the main goal of US examination in newborns is perhaps to assess the hip joint for congenital hip dysplasia, in elderly people it is to evaluate the body composition for diagnosing sarcopenia [ 28 , 29 ].…”

Section: Discussionmentioning

confidence: 99%

‘Ultrasound Examination’ of the Musculoskeletal System: Bibliometric/Visualized Analyses on the Terminology (Change)

Pirri

Stecco

et al. 2023

Tomography

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Ultrasound imaging of the musculoskeletal system is paramount for physicians of different specialties. In recent years, its use has become the extension of physical examinations like using a “magnifying glass”. Likewise, the eventual concept has naturally and spontaneously evolved to a “fusion” of classical physical examination and static/dynamic ultrasound imaging of the musculoskeletal system. In this regard, we deem it important to explore the current use/awareness regarding ‘ultrasound examination’, and to better provide insight into understanding future research spots in this field. Accordingly, this study aimed to search the global/research status of ‘ultrasound examination’ of the musculoskeletal system based on bibliometric and visualized analysis.

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“…Unstable or displaced lesions require surgical intervention, usually through arthroscopic methods. Generally, stable lesions have better outcomes compared to unstable ones [95][96][97].…”

Section: Clinical Applicationsmentioning

confidence: 99%

Understanding Osteochondritis Dissecans: A Narrative Review of the Disease Commonly Affecting Children and Adolescents

Konarski,

Poboży,

Konarska

et al. 2024

Children

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Background: Osteochondritis dissecans (OCD) is a joint disorder predominantly affecting the knee, elbow, and ankle of children and adolescents. This comprehensive review delves into the epidemiology, etiology, clinical manifestations, diagnostic approaches, and treatment of OCD. Results: The most common cause of OCD is repetitive microtrauma, typically associated with sports activities, alongside other significant factors such as genetic predisposition, ischemia, and obesity. In early stages or when lesions are small, OCD often presents as non-specific, vaguely localized pain during physical activity. As the condition progresses, patients may experience an escalation in symptoms, including increased stiffness and occasional swelling, either during or following activity. These symptom patterns are crucial for early recognition and timely intervention. Diagnosis in most cases is based on radiographic imaging and magnetic resonance imaging. Nonsurgical treatment of OCD in young patients with open growth plates and mild symptoms involves activity restriction, immobilization methods, and muscle strengthening exercises, with a return to sports only after symptoms are fully resolved and at least six months have passed. Surgical treatment of OCD includes subchondral drilling in mild cases. Unstable lesions involve methods like restoring the joint surface, stabilizing fractures, and enhancing blood flow, using techniques such as screws, anchors, and pins, along with the removal of fibrous tissue and creation of vascular channels. The specifics of OCD treatment largely depend on the affected site. Conclusions: This synthesis of current research and clinical practices provides a nuanced understanding of OCD, guiding future research directions and enhancing therapeutic strategies.

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Basic Differences and Most Common Findings in Ultrasound Examinations of Musculoskeletal System in Children: A Narrative Literature Review

Cited by 4 publications

References 49 publications

Diagnostic utility of ultrasound in pediatric nasal bone fractures: a systematic review and meta-analysis

Diagnostic utility of ultrasound in pediatric nasal bone fractures: a systematic review and meta-analysis

‘Ultrasound Examination’ of the Musculoskeletal System: Bibliometric/Visualized Analyses on the Terminology (Change)

Understanding Osteochondritis Dissecans: A Narrative Review of the Disease Commonly Affecting Children and Adolescents

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