ArticleFrontiers in pediatrics2022
Ultrasound Instead of X-Ray to Diagnose Neonatal Fractures: A Feasibility Study Based on a Case Series.
Article in Frontiers in pediatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.
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Who cites it
10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 8 citations in OpenAlex.
- Lung Ultrasound-Guided Non-Fiberobronchoscopic Bronchoalveolar Lavage for Neonatal Atelectatic Pulmonary Disease Treatment: Clinical Practice Guidelines Based on International Expert Consensus.Diagnostics (Basel, Switzerland) · 2026Guideline
- A systematic review and meta-analysis on the diagnostic utility of ultrasound for clavicle fractures.Skeletal radiology · 2024Pooled it
- [Usability of Ultrasonography in the Diagnosis of Pediatric Fractures].Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca · 2026Article
- [The necessity of routine use of critical care ultrasound in neonatal intensive care units].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2026Article
- The clinical efficacy analysis of ultrasound-assisted minimally invasive treatment for Jakob Type II humeral lateral condyle fractures in children.Frontiers in pediatrics · 2026Article
- Point-of-care ultrasound (POCUS) diagnosis of rib fractures.World journal of emergency surgery : WJES · 2025Review
- Birth-related long bone fractures in otherwise healthy newborns and medical professional liability: literature review and case presentation.Frontiers in medicine · 2025Article
- Ultrasound Diagnosis of Clavicle Fractures in Newborns: A Systematic Review.Children (Basel, Switzerland) · 2024Review
- Neonatal upper limb fractures - a narrative overview of the literature.BMC pediatrics · 2024Article
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Fracture is a common birth injury in neonates, and its diagnosis mainly depends on chest X-ray examination, while ultrasound is typically not included in the diagnostic work-up of neonatal fractures. The aim of this study was to investigate the feasibility of using ultrasound to replace X-rays for the diagnosis of fractures in newborns and to determine the ultrasound characteristics of such fractures. Methods: Bedside ultrasound with an appropriate probe and scanning angle was performed on 52 newborn infants with suspected fractures based on physical examination findings, and the ultrasound results were compared with the X-ray examination results. Results: All 52 infants (100%) showed typical signs of fracture on ultrasound, including 46 cases of clavicle fracture, 3 cases of skull fracture, 2 cases of rib fracture, and 1 case of humerus fracture. Ultrasound was able to detect interrupted cortical continuity, displacement or angulation at the broken end, and callus formation during the recovery period. Chest X-ray examination was performed on 30 patients and identified 96.7% (29/30) of fractures, and the coincidence rate between ultrasound and X-ray was 100%. However, the sensitivity of ultrasound was higher than that of X-ray. Conclusion: Ultrasound diagnosis of neonatal fracture is accurate, reliable, simple, and feasible. Therefore, it can replace X-ray examinations for the routine diagnosis of common types of neonatal bone fractures.
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