Evidence map›Paper›PMID 31463038›Full record

ArticleBone & joint research2019

What is the role of ultrasound in fracture management?: Diagnosis and therapeutic potential for fractures, delayed unions, and fracture-related infection.

J A Nicholson, S T J Tsang, T J MacGillivray, F Perks, A H R W Simpson

Open access · goldAbstract read
In one paragraph

Article in Bone & joint research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 3 pooled it
4.9field-weighted citation impact, top 5% of its field
1 · What the graph read from 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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 3 syntheses or guidelines pooled it, 49 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Applications of elastography in operative neurosurgery: A systematic review.Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia · 2022
    Pooled it
  4. Trial
  5. Article
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  7. Review
  8. Article
  9. Ultrasound assessment of humeral shaft nonunion risk: a feasibility and proof of concept study.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024
    Article
  10. Article
  11. Review
  12. Ultrasound imaging of bone fractures.Insights into imaging · 2022
    Review
  13. Common Ultrasound Applications for Pediatric Musculoskeletal Conditions.Current reviews in musculoskeletal medicine · 2022
    Review
  14. Article
  15. Article
  16. Article
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  19. Article
  20. Ultrasound and bone: a pictorial review.Journal of ultrasound · 2020
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

J A NicholsonDepartment of Orthopaedic Surgery, University of Edinburgh, Edinburgh, UK.
S T J TsangDepartment of Orthopaedic Surgery, University of Edinburgh, Edinburgh, UK.
T J MacGillivrayCentre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, UK.
F PerksDepartment of Radiology, Royal Infirmary of Edinburgh, Edinburgh, UK.
A H R W SimpsonDepartment of Orthopaedic Surgery, University of Edinburgh, Edinburgh, UK.
Edinburgh Royal Infirmary · GBUniversity of Edinburgh · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe aim of this study was to review the current evidence and future application for the role of diagnostic and therapeutic ultrasound in fracture management.

methodsA review of relevant literature was undertaken, including articles indexed in PubMed with keywords "ultrasound" or "sonography" combined with "diagnosis", "fracture healing", "impaired fracture healing", "nonunion", "microbiology", and "fracture-related infection".

resultsThe use of ultrasound in musculoskeletal medicine has expanded rapidly over the last two decades, but the diagnostic use in fracture management is not routinely practised. Early studies have shown the potential of ultrasound as a valid alternative to radiographs to diagnose common paediatric fractures, to detect occult injuries in adults, and for rapid detection of long bone fractures in the resuscitation setting. Ultrasound has also been shown to be advantageous in the early identification of impaired fracture healing; with the advent of 3D image processing, there is potential for wider adoption. Detection of implant-related infection can be improved by ultrasound mediated sonication of microbiology samples. The use of therapeutic ultrasound to promote union in the management of acute fractures is currently a controversial topic. However, there is strong

conclusionModern ultrasound image processing has the potential to replace traditional imaging modalities in several areas of trauma practice, particularly in the early prediction of impaired fracture healing. Further understanding of the therapeutic application of ultrasound is required to understand and identify the use in promoting fracture healing.

Indexed as

Callus predictionFracture-related infectionFracturesImagingImpaired fracture healingMicrobiologyNonunionSmokingUltrasound

Identifiers

PMID31463038
PMCPMC6691369
OpenAlexW2961912764

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.