ArticleJournal of orthopaedic surgery and research2020
Ultrasonography-guided closed reduction in the treatment of displaced transphyseal fracture of the distal humerus.
Article in Journal of orthopaedic surgery and research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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5 citing papers in PubMed.
- Diagnostic Pitfalls and Management of Transphyseal Fractures of the Distal Humerus: A Retrospective Review of 25 Cases.Children (Basel, Switzerland) · 2026Article
- The emerging application of ultrasound technology in pediatric bone fractures: Clinical application, related issues and development prospect.Pediatric discovery · 2024Review
- Comparative use of ultrasound and radiography for the detection of fractures: a systematic review and narrative synthesis.Annals of medicine and surgery (2012) · 2023Article
- Application of ultrasound in the closed reduction and percutaneous pinning in supracondylar humeral fractures.Journal of orthopaedic surgery and research · 2021Article
- Closed Reduction and Percutaneous Pinning in the Treatment of Humeral Distal Metaphyseal-Diaphyseal Junction Fractures in Children: A Technique Note and Preliminary Results.Frontiers in pediatrics · 2021Article
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7 authors.
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Abstract
backgroundTo evaluate the clinical and radiographic outcomes of ultrasonography-guided closed reduction in the treatment of displaced transphyseal fracture of the distal humerus (TFDH).
methodsTwenty-seven patients with displaced TFDH were successfully treated by the ultrasonography-guided closed reduction during January 2012 to December 2016 and were retrospectively reviewed. After the mean follow-up of 34.88 months, the clinical and radiographic outcomes of patients were evaluated. The cubitus varus of the affected elbows was also assessed at the latest follow-up.
resultsThe successful rate of ultrasonography-guided closed reduction in the treatment of displaced TFDH was 84% (27/32). The twenty-seven patients with successful reduction were included for the following analysis. There were 20 males and 7 females included in the study, and the mean age at treatment was 15.39 ± 3.10 months; seventeen fractures occurred in the right side elbow and ten in the left side. At the last follow-up, there were significant decreases in the elbow flexion (3°, P = 0.027) and range of motion (5°, P = 0.003) between the injured and uninjured elbow, respectively, whereas no difference in elbow extension was detected (P = 0.110). Flynn's criteria assessment showed that all the patients achieved excellent or good outcomes both in the functional and cosmetic categories. The clinical and radiographic carrying angles at the last follow-up were 11.67 ± 3.11° and 10.46 ± 3.88°, respectively. And the incidence of cubitus varus after treatment was 7.4% at the last follow-up.
conclusionThe ultrasonography-guided closed reduction in the treatment of displaced TFDH is an effective procedure; the adequate fracture reduction can be acquired with the advantages of real-time, non-radioactive, and simple utilization. With the percutaneous pining fixation, satisfactory clinical and radiographic outcomes can be achieved with a low incidence of postoperative cubitus varus.
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