Sonographische Frakturdiagnostik

Eckert, K.; Ackermann, O.

doi:10.1007/s00117-015-0003-8

Cited by 17 publications

(41 citation statements)

References 23 publications

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“…The data supporting this is very good [13][14][15][16][17][18][19][20][21][22], with a meta-analysis recently confirming the safety of the method [23]. In comparison to X-ray diagnosis, the sensitivity of ultrasound examination is 94-96 %, and the specificity is 97-99 % [9,11]. The rate of false-negative findings for both methods was 1.3 % [13].…”

Section: Distal Forearm Fractures (Children Up To 12 Years)mentioning

confidence: 92%

“…Erst in den letzten Jahren konnten jedoch durch strukturierte Vergleiche mit der Röntgendiagnostik und Entwicklung definierter Standards der klinische Einsatzbereich präzisiert und verlässliche Diagnostik-und Behandlungsalgorithmen rithms have been created. These are now part of the EFSUMB Coursebook [6] and the literature [7,8], and have been published in the fields of trauma surgery [9,10], radiology [11] and emergency medicine [12].…”

Section: Historieunclassified

“…erstellt werden. Diese sind mittlerweile Teil des EFSUMB-Coursebooks [6], der Buchliteratur [7,8] und in der Unfallchirurgie [9,10], Radiologie [11] und Notfallmedizin [12]…”

Section: Measurement Of Axis Deviationunclassified

“…Up to the 12 th year of life, 90 % of distal forearm fractures could be diagnosed using ultrasound with no need for X-ray, and subsequently treated. There was an indication for follow-up X-ray imaging in only 10 % of cases [11,24]. Due to the great potential for correction, using ultrasound is very safe in these cases.…”

Section: Distal Forearm Fractures (Children Up To 12 Years)mentioning

confidence: 99%

“…3) [7]. The Wrist SAFE (Sonographic Algorithm for Fracture Evaluation) can be used as a diagnostic algorithm [7,8,11,24] (▶ Fig. 4).…”

Section: Distal Forearm Fractures (Children Up To 12 Years)mentioning

confidence: 99%

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Fracture Ultrasound of the Extremities

Ackermann

Simanowski²,

Eckert

2020

Ultraschall in Med

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Fracture ultrasound has increasingly come into the focus of international research. A growing number of original articles and a meta-analysis show that wrist fractures can be diagnosed without X-ray in children up to 12 years. Further original publications state that elbow fractures can be ruled out by exclusion of intraarticular effusion and in proximal humerus fractures the number of X-rays is reduced by about 50 %, while the quality of diagnosis is improved. Screening for occult fractures is another good indication. Clavicle fractures, and ac-joint sprains can be diagnosed better with US than with X-rays. A number of research groups have contributed valuable research about the different indications. The aim of this paper is to give an overview of the basics and actual fields of application for fracture ultrasound of the extremities.

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Section: Distal Forearm Fractures (Children Up To 12 Years)mentioning

confidence: 92%

Section: Historieunclassified

“…erstellt werden. Diese sind mittlerweile Teil des EFSUMB-Coursebooks [6], der Buchliteratur [7,8] und in der Unfallchirurgie [9,10], Radiologie [11] und Notfallmedizin [12]…”

Section: Measurement Of Axis Deviationunclassified

Section: Distal Forearm Fractures (Children Up To 12 Years)mentioning

confidence: 99%

“…3) [7]. The Wrist SAFE (Sonographic Algorithm for Fracture Evaluation) can be used as a diagnostic algorithm [7,8,11,24] (▶ Fig. 4).…”

Section: Distal Forearm Fractures (Children Up To 12 Years)mentioning

confidence: 99%

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Fracture Ultrasound of the Extremities

Ackermann

Simanowski²,

Eckert

2020

Ultraschall in Med

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Comparison of Ultrasonography to MRI in the Diagnosis of Lower Extremity Bone Stress Injuries

Syrop

Fukushima

Mullins

et al. 2022

J of Ultrasound Medicine

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Objective To determine the sensitivity and specificity of ultrasound imaging (USI) compared to the reference‐standard of MRI in the diagnosis of bone stress injury (BSI). Methods A prospective blinded cohort study was conducted. Thirty seven patients who presented to an academic sports medicine clinic from 2016 to 2020 with suspected lower‐extremity BSI on clinical exam underwent both magnetic resonance imaging (MRI) and USI. Participant characteristics were collected including age, gender and sport. Exclusion criteria included contraindication for dedicated MRI, traumatic fracture, or severe tendon or ligamentous injury. The primary outcome measure was BSI diagnosis by USI. An 8‐point assessment system was utilized on USI for diagnosis of BSI, and the Fredericson and Nattiv22 criteria were applied to classify MRI findings. Results Thirty seven participants who met study criteria were consented to participate. All participants completed baseline measures. Using MRI, there were 30 (81%) athletes with a positive and seven participants with a negative BSI diagnosis. The most common BSIs in the study were in the metatarsal (54%) and tibia (32%). Compared to MRI, USI demonstrated 0.80 sensitivity (95% confidence interval [CI], 0.61–0.92) and 0.71 specificity (95% CI, 0.29–0.96) in detecting BSI, with a positive predictive value of 0.92 (95% CI, 0.75–0.99) and negative predictive value of 0.45 (95% CI, 0.17–0.77). Conclusions USI is a potentially useful point‐of‐care tool for practicing sports medicine providers to combine with their clinical evaluation in the diagnosis of BSIs. Further research is ongoing to determine the role of USI in follow‐up care and return‐to‐play protocols.

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Proximal Humerus

Ackermann

2021

Fracture Sonography

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Sonographische Frakturdiagnostik

Abstract: Sonographic algorithms for fracture evaluation (SAFE) offer a safe diagnosis and guidance of the therapeutic course of certain pediatric fractures, thereby reducing unnecessary radiation exposure.

Cited by 17 publications

References 23 publications

Fracture Ultrasound of the Extremities

Fracture Ultrasound of the Extremities

Comparison of Ultrasonography to MRI in the Diagnosis of Lower Extremity Bone Stress Injuries

Proximal Humerus

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