Ultrasonography-Guided Combination with Elbow Arthrography-Assisted Minimally Invasive Treatment of Radial Neck Fractures in Young Children

Abstract

Background. A radius neck fracture in children is a common fracture that not only affects the growth and development of children but also has a certain impact on the function of children’s elbow joints. Objective. To probe into the application value of ultrasonography- (US-) guided combination with elbow arthrography in the minimally invasive treatment of radial neck fractures in young children, summarize its clinical effect and provide a minimally invasive, safe, effective, and reliable method for treating radial neck fractures in young children. Methods. Seventy-three patients with type III or IV radial neck fractures were treated from June 2013 to December 2020 and were divided into the Métaizeau group ( n = 31 , treatment group) and Kirschner wire ( k -wire) k -wire group ( n = 42 , control group). The Métaizeau group was given US-guided combination with elbow arthrography-assisted modified Métaizeau technique, the k -wire group received open reduction and internal fixation with k -wire and compared the surgical effect of the two groups. Results. In comparison with the k -wire group, time of operation, intraoperative bleeding volume, and hospital stay were signally junior to those in the Métaizeau group ( P < 0.05 ). After surgery, in comparison with the k -wire group, the number of degrees to contralateral flexion or forearm rotation was visually lower in the Métaizeau group ( P < 0.05 ), and postoperative complication incidence in the Métaizeau group was visually lower than that in k -wire group ( P < 0.05 ). Conclusion. In the minimally invasive treatment of radial neck fractures, US-guided combination with elbow arthrography in young children has better efficacy and high safety. It can be widely promoted and applied clinically.

Application of ultrasound in the management of TRASH (the radiographic appearance seemed harmless) fractures in preschool children: A review

“…The fracture fragment may not be visible in the lateral film due to the shielding of the proximal part of the ulna, or an overlapping image of the fracture can be vaguely seen. [ 6 , 7 ] If the patient is rejected to rotate the swollen forearm, ultrasound is a suitable evaluation tool to avoid misdiagnosis (Fig. 5 ).…”

“…[4] The ultrasound or magnetic resonance imaging were also advised to confirm diagnoses. [5][6][7][8] Due to the high miss-diagnose rate in TRASH preschool patients (TRASH-PS), we reviewed the meaningful use of ultrasound of TRASH-PS fractures.…”

A comparative study: Ultrasound-guided leverage reduction with internal fixation using Kirschner wires or elastic stable intramedullary nailing for severely displaced radial neck fractures in children

“…[11,12] Additionally, several studies have confirmed the utility of ultrasound in assessing reduction adequacy. [13,14] In literature, some studies [15][16][17] have shown that ultrasound-guided diagnosis is reliable in detecting fractures of RNFs. Nevertheless, to our knowledge, we know of no previous studies reported in the literature comparing 2 different ultrasonography (US)-guided closed reduction and fixation methods in managing displaced radial neck fractures in children.…”

Retracted: Ultrasonography‐Guided Combination with Elbow Arthrography‐Assisted Minimally Invasive Treatment of Radial Neck Fractures in Young Children

“…This article has been retracted by Hindawi following an investigation undertaken by the publisher [ 1 ]. This investigation has uncovered evidence of one or more of the following indicators of systematic manipulation of the publication process: Discrepancies in scope Discrepancies in the description of the research reported Discrepancies between the availability of data and the research described Inappropriate citations Incoherent, meaningless and/or irrelevant content included in the article Peer-review manipulation …”

“…This article has been retracted by Hindawi following an investigation undertaken by the publisher [1]. This investigation has uncovered evidence of one or more of the following indicators of systematic manipulation of the publication process:…”