ArticleJournal of medical ultrasonics (2001)2014
Accuracy of the sonographic fat pad sign for primary screening of pediatric elbow fractures: a preliminary study.
Article in Journal of medical ultrasonics (2001), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07212036 (The Utilization of Ultrasound to Diagnose Pediatric Elbow Fractures), which is not on this map. Cited by 10 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
The Utilization of Ultrasound to Diagnose Pediatric Elbow Fractures: Evaluation of Cost Savings, Radiation Exposure, and Patient Satisfaction
Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The Investigation of Suspected Fracture-a Comparison of Ultrasound With Conventional Imaging.Deutsches Arzteblatt international · 2017Pooled it
- [Usability of Ultrasonography in the Diagnosis of Pediatric Fractures].Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca · 2026Article
- Utility of point-of-care ultrasound for the diagnosis of elbow fractures in the pediatric emergency department.JSES international · 2025Article
- Fracture sonography-review of literature and current recommendations.Archives of orthopaedic and trauma surgery · 2024Review
- Diagnostic Accuracy of Ultrasonography for Identification of Elbow Fractures in Children; a Systematic Review and Meta-analysis.Archives of academic emergency medicine · 2023Review
- Could Ultrasound Be Used as a Triage Tool in Diagnosing Fractures in Children? A Literature Review.Healthcare (Basel, Switzerland) · 2022Review
- [Fracture sonography of the extremities].Der Unfallchirurg · 2022Review
- A Practical Method for Obtaining True Lateral Elbow X-rays in a Paediatric Age Group: Lateral Elbow X-ray in the Standing Salute Position.Indian journal of orthopaedics · 2021Article
- [Sonographic fracture diagnostics].Der Radiologe · 2015Review
- [Sonographic fracture diagnosis in children].Der Unfallchirurg · 2014Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe purpose of this study was to evaluate the diagnostic accuracy of the sonographic fat pad sign (FPS) as a predictor for pediatric elbow fractures. PATIENTS AND
methodsThis is a prospective study of children under 14 years with suspected elbow fractures. All participants underwent at first ultrasonography focused on a FPS followed by standard elbow radiographs. US findings were compared to final fracture diagnosis.
results38 out of 79 children had an elbow fracture. A sonographic FPS predicted an elbow fracture with a sensitivity/specificity of 97.3/90.5 %, positive/negative likelihood ratios (LR) were 10.2/0.03 and correct/false classification rates were 93.7/6.3 %. Primary US findings were later reviewed by a blinded physician giving a congruity of 96.2 %. These secondary US findings predicted an elbow fracture with a sensitivity/specificity of 92.1/92.7 %, positive/negative LRs were 12.6/0.09 and correct/false classification rates were 92.4/7.5 %.
conclusionThe sonographic FPS could serve as a useful screening tool in primary evaluation of pediatric elbow injuries. If a fracture is unlikely after clinical and US evaluation, additional radiographs are dispensable, thereby potentially minimizing the radiation burden in childhood and reducing the length of stay in the Emergency Department.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.