Evidence map›Paper›PMID 32430548›Full record

ArticleInternational orthopaedics2020

Treatment of displaced radial neck fractures under ultrasonographic guidance in children.

Yuxi Su, Chen Jin, Xiaokun Duan, Jing Wang, Kuang Li

Abstract read
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In one paragraph

Article in International orthopaedics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.5field-weighted citation impact, top 15% 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

14 citing papers in PubMed, 22 citations in OpenAlex.

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  8. Ultrasound Applications in Pediatric Orthopedics.The archives of bone and joint surgery · 2024
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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 3 institutions in 2 countries.

Yuxi SuDepartment II of Orthopaedics, Chongqing Key Laboratory of Pediatrics, Ministry of Education Key Laboratory of Child Development and Disorders, National Clinical Research Center for Child Health and Disorders; China International Science and Technology Cooperation base of Child development and Critical Disorders, Children's Hospital of Chongqing Medical University, Chongqing, People's Republic of China.
Chen JinPediatric Surgery, The Second Affiliated Hospital of Shandong First Medical University Shandong, Changcheng Road 619#, Taian City, Shandong Province, China.
Xiaokun DuanPediatric Orthopedics, Shandong Wendeng Osteopathic Hospital, Weihai, Shandong, China.
Jing WangUltrasound Department, The Second Affiliated Hospital of Shandong First Medical University Shandong, Taian, Shandong, China.
Kuang LiPediatric Surgery, The Second Affiliated Hospital of Shandong First Medical University Shandong, Changcheng Road 619#, Taian City, Shandong Province, China. hflikung@126.com.
Shandong First Medical University · CNAffiliated Hospital of Taishan Medical University · CNChina International Science and Technology Cooperation · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study aimed to evaluate the feasibility of reduction under ultrasonographic (US) guidance with Kirschner wires (K-wires) and fixation with elastic stable intramedullary nails (ESINs) in the treatment of radial neck fractures (RNFs).

methodsThis retrospective study included 50 children treated for Judet types III and IV RNFs at our hospital from September 2015 to November 2018. Patients were divided into two groups: group A (without US) and group B (with US). Group A patients were treated using the Métaizeau technique; one K-wire was used for reduction under the guidance of X-ray fluoroscopy. Group B patients were treated using the same technique, but under the guidance of US. Post-operative radiographs, elbow function, and complications were analyzed.

resultsAll patients were followed up over a period of 12 months. Five patients in group A had posterior interosseous nerve (PIN) injury, whereas no patient in group B had PIN injury (p = 0.016). The use of US guidance resulted in lower radiation exposure and shorter operation time. According to the Mayo Elbow Performance Index, there was no significant difference between the two groups (p = 0.814), including post-operative complications (radial head necrosis, fracture displacement, or stiffness).

conclusionUS guidance during surgery is feasible to treat Judet type III and IV RNFs. US guidance can significantly reduce X-ray radiation exposure and the risk of PIN injury.

Indexed as

Fracture Fixation, IntramedullaryRadius FracturesBone NailsBone WiresChildFracture Fixation, InternalHumansRetrospective StudiesTreatment OutcomeClose reductionKirschner wiresRadial neck fractureUltrasound

Identifiers

PMID32430548
OpenAlexW3027290401

What OpenQuestion holds

Textmetadata
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.