The use of ultrasonography for the confirmation of pulled elbow treatment

Heydari, Farhad; Shariat, Shiva Samsam; Majidinejad, Saeed; Masoumi, Babak

doi:10.15171/jept.2017.24

Cited by 2 publications

(3 citation statements)

References 16 publications

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“…US is used for the examination of abdomen, thorax, heart, and eye (10,(12)(13)(14). It is now well established that musculoskeletal US exam with an acceptable efficacy can be used for the diagnosis of bone fractures and as a before-after imaging for reduction in the ED (8)(9)(10)(11)(12). To the best of our knowledge, this is the first study to compare US and radiography with respect to efficacy of diagnosis of calcaneal fracture.…”

Section: Discussionmentioning

confidence: 99%

“…The structures of the ankle and foot are superficial and can be easily evaluated by US (7,8). In this regard, accumulating lines of evidence have recently demonstrated the diagnostic efficacy of bedside US, which could be considered the choice of treatment, and also decreasing the fractures in the emergency department (ED) (8)(9)(10)(11)(12).…”

Section: Introductionmentioning

confidence: 99%

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Comparison of diagnostic accuracy of bedside ultrasonography and radiography for calcaneal fractures in the emergency department

Zamani

Mazaheri

Heydari

et al. 2020

J Emerg Pract Trauma

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Objective: Ultrasonography (US) is not the method of choice for the diagnosis of calcaneal fractures. The aim of this study was to compare the diagnostic accuracy of US with plain radiography in the diagnosis of calcaneus fractures following blunt ankle and foot trauma. Methods: In this cross-sectional study, 214 patients (over 18 years) presenting to the emergency department (ED) with suspicion of traumatic calcaneus fracture following acute blunt trauma, were enrolled. Bedside ultrasonography was performed and interpreted by emergency physicians. After that, plain radiography was performed. Furthermore, all the patients were assessed by computed tomography (CT) scan as the gold standard. Results: Finally, 193 patients were enrolled with a mean age of 29.4 ± 15.7 years (85.5% male). Fractures in the calcaneus were detected in 49 patients. The sensitivity and specificity of ultrasonography in the detection of calcaneal fractures were 83.6%, (confidence interval (CI), 69.7-92.2) and 100% (95% CI, 96.7-100), while the sensitivity and specificity of X-ray were 87.7% (95% CI, 74.5-94.9) and 100% (95% CI, 96.7-100). There was no false positive result for X-ray and US. Conclusion: Our findings suggest that bedside US with an acceptable sensitivity and specificity can be used as a promising alternative for the diagnosis of calcaneal fracture in ED.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Comparison of diagnostic accuracy of bedside ultrasonography and radiography for calcaneal fractures in the emergency department

Zamani

Mazaheri

Heydari

et al. 2020

J Emerg Pract Trauma

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“…The other method is the hyper pronation method wherein the examiner hyper pronates the forearm and applies pressure with the other hand on the radial head. A click may be felt by the finger over the radial head, or a pop may be heard by the examiner when the displacement is reduced [15,16]. Data gathering The patients' baseline information including age and sex, chief complaint, mechanism of injury, time of injury, side of injuries, previous history of trauma, and the number of similar injuries were recorded.…”

Section: Methods Study Designmentioning

confidence: 99%

Outcomes of Pulled Elbow in the Children: An Original Article

2022

IJCMER

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Introduction: Radial head subluxation [RHS] or Pulled Elbow is a common disorder in children. Although it is not accompanied by any important short- or long-term sequel, it could make the parents worried about. Objective or purpose: The purpose of this study was to determine the possible effective factors that may influence time to use the affected limb. Methods: This cross-sectional study was conducted prospectively during the years 2014 to 2016. All children under the age of 6 years who visited the emergency department [ED] and were diagnosed as having RHS were eligible. The patients’ baseline information was recorded. After the reduction, the time until the affected arm use returned was recorded. The possible relationship between the baseline data and time to re-use the affected limb was assessed. Results: During the study period, 112 children with a mean age of 30.18 ± 18.18 months were evaluated [53% male]. Among the children who visited the ED during the first 4 hours and thereafter, 84% and 60%, respectively, re-used their limb in less than 10 minutes after reduction [p = 0.004]. Also, 55% of children less than or equal to 24 months and 89% over the age of 24 months re-used the arm in 10 minutes [p < 0.001]. The success rate of the first reduction maneuver was significantly lower in children with a recurrent dislocation [p = 0.001]. Conclusion: It is likely that age less than or equal to 24 months and ED visit after 4 hours of the event lead to a longer duration for re-using the affected arm following reduction.

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The use of ultrasonography for the confirmation of pulled elbow treatment

Cited by 2 publications

References 16 publications

Comparison of diagnostic accuracy of bedside ultrasonography and radiography for calcaneal fractures in the emergency department

Comparison of diagnostic accuracy of bedside ultrasonography and radiography for calcaneal fractures in the emergency department

Outcomes of Pulled Elbow in the Children: An Original Article

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