SynthesisDeutsches Arzteblatt international2017
The Investigation of Suspected Fracture-a Comparison of Ultrasound With Conventional Imaging.
Synthesis in Deutsches Arzteblatt international, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06765083 (Can we 'Hear' Femoral Neck Fractures? Ultrasound Guided Diagnosis of Femoral Neck Fractures.), which is not on this map. Cited by 17 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
Can we 'Hear' Femoral Neck Fractures? Ultrasound Guided Diagnosis of Femoral Neck Fractures.
Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.
- Diagnostic accuracy of ultrasound versus X-ray for distal forearm fractures in children and adolescents: a systematic review and meta-analysis.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Pooled it
- Point-of-care ultrasound for the diagnosis of distal forearm fractures in children and adolescents: a scoping review.European journal of pediatrics · 2024Article
- Fracture sonography-review of literature and current recommendations.Archives of orthopaedic and trauma surgery · 2024Review
- SonoBox: development of a robotic ultrasound tomograph for the ultrasound diagnosis of paediatric forearm fractures.Frontiers in robotics and AI · 2024Article
- Diagnostic Accuracy of Ultrasonography for Identification of Elbow Fractures in Children; a Systematic Review and Meta-analysis.Archives of academic emergency medicine · 2023Review
- Snowed In: A Case Report on the Utilization of Ultrasound in the Diagnosis of Fractures.Cureus · 2023Article
- Flexible ultrasound transceiver array for non-invasive surface-conformable imaging enabled by geometric phase correction.Scientific reports · 2022Article
- 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
- The Incidence of Fractures Among the Adult Population of Germany–an Analysis From 2009 through 2019Deutsches Arzteblatt international · 2021Article
- Occult isolated fracture of the trapezoid diagnosed by ultrasonography.Journal of ultrasound · 2021Article
- Using formalin embalmed cadavers to teach fracture identification with ultrasound.BMC medical education · 2020Article
- [Special aspects of fractures of the distal forearm].Der Radiologe · 2020Review
- Ultrasonography in assessing suspected bone fractures: a cross-sectional survey amongst German general practitioners.BMC family practice · 2020Article
- [Necessity for radiological examinations in children : Children in two levels].Der Unfallchirurg · 2020Article
- [Distal radius fractures : Update on imaging].Der Radiologe · 2018Article
- Usefulness of Point-of-Care Ultrasound in Diagnosing a Trochanteric Femoral Fracture: A Case Report.Pediatrics international : official journal of the Japan Pediatric SocietyArticle
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 at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundUltrasound imaging can be used to diagnose fractures in patients with acute trauma. Its main advantages over conventional imaging are the absence of radiation exposure and its greater availability.
methodsA systematic search in electronic databases (Medline, Embase, Cochrane CENTRAL) was supplemented by a manual search on the Internet and in the reference lists of pertinent publications. The QUADAS-2 instrument was used to assess the quality of the individual studies retrieved. In the metaanalysis, the sensitivity and specificity of the individual studies were pooled.
resultsThe available information on the diagnostic accuracy of ultrasound in the detection of fractures compared with that of conventional imaging (x-ray, CT, MRI) in patients with acute non-life-threatening trauma is summarized. The database search yielded 2153 hits, among which there were 48 studies that were suitable for inclusion in this review. The pooled sensitivity and specificity were 0.91 (95% confidence interval [0.90; 0.92]) and 0.94 [0.93; 0.95], although the analyzed studies were markedly heterogeneous (I²: sensitivity 74%, specificity 81%). The sensitivity of ultrasound was higher for the detection of fractures of the humerus, the forearm, the ankle, and the long bones in general, as well as fractures in children, and lower for fractures of the short bones of the hands and feet, and in adults.
conclusionStrong evidence supports the use of ultrasound imaging for certain indications in the detection of fractures.
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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.