Effectiveness of ultrasonography performed at the emergency department for pediatric elbow trauma cases

Basit Öğe Kaydı
dc.authorscopusid57214088909
dc.authorscopusid16306382400
dc.authorscopusid55791875200
dc.authorscopusid35789631500
dc.contributor.authorKorgan, M.B.
dc.contributor.authorAltunci, Y.A.
dc.contributor.authorUz, İ.
dc.contributor.authorAkarca, F.K.
dc.date.accessioned2024-08-25T18:31:43Z
dc.date.available2024-08-25T18:31:43Z
dc.date.issued2023
dc.departmentEge Üniversitesien_US
dc.description.abstractBackground: Two-way direct radiography is the first-choice imaging method for pediatric patients presenting to the emergency department with elbow trauma. Although, unlike radiography, ultrasonography (US) is not used routinely, studies show that US can be used in the diagnosis of fractures in pediatric patients. Methods: In this single-center prospective observational study, patients under the age of 18 who presented to the emergency department after sustaining elbow trauma constituted the population of the study. Findings of the posterior fat pad sign using bedside US and the result obtained by seven-point assessment of the bone cortex were compared with the final diagnosis. Results: Of the 128 patients enrolled in the study, 6 patients were excluded due to various reasons. Seventy (57.4%) patients were male, and median age was 7.7 years. On examining the final diagnosis of the patients at the emergency department, fracture diagnosis was observed in 39 patients (32%). It was determined that fracture diagnosis for 94.9% of the patients included in the study could be achieved using US (in the presence of at least the fat pad sign and/or direct findings of fracture based on the seven-point assessment). Conclusion: US should be considered as a diagnostic tool in cases of pediatric elbow traumas owing to its high sensitivity and negative predictive value. US, which is reproducible, ionizing radiation-free, and can be performed at the bedside, can considerably reduce unnecessary radiography in low-risk patients when evaluated along with physical examination findings among patients in the pediatric age group presenting with elbow trauma. We believe that the result of our study will contribute to patient care practices. © 2023 Elsevier Ltden_US
dc.description.sponsorshipEge Üniversitesien_US
dc.description.sponsorshipWe want to thank Asli SUNER KARAKULAH, PhD, Ege University, Faculty of Medicine, Department of Biostatistics and Medical Informatics, for helping with statistical analyzing.en_US
dc.identifier.doi10.1016/j.injury.2023.111005
dc.identifier.issn0020-1383
dc.identifier.pmid37673759en_US
dc.identifier.scopus2-s2.0-85170405108en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.urihttps://doi.org/10.1016/j.injury.2023.111005
dc.identifier.urihttps://hdl.handle.net/11454/100001
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherElsevier Ltden_US
dc.relation.ispartofInjuryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.snmz20240825_Gen_US
dc.subjectElbow fracturesen_US
dc.subjectElbow traumaen_US
dc.subjectEmergency medicineen_US
dc.subjectEmergency ultrasounden_US
dc.subjectPediatric patienten_US
dc.subjectUltrasonographyen_US
dc.titleEffectiveness of ultrasonography performed at the emergency department for pediatric elbow trauma casesen_US
dc.typeArticleen_US

Dosyalar

Koleksiyon

Scopus İndeksli Yayınlar Koleksiyonu
PubMed İndeksli Yayın Koleksiyonu