Evidence map›Paper›PMID 39334059›Full record

ArticleBMC medical imaging2024

Diagnosis of suspected pediatric distal forearm fractures with point-of-care-ultrasound (POCUS) by pediatric orthopedic surgeons after minimal training.

Josephine Edith Pohl, Philipp Schwerk, René Mauer, Gabriele Hahn, Ricardo Beck, Guido Fitze, Jurek Schultz

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC medical imaging, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

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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

2 citing papers in PubMed.

  1. Review
  2. Automatic ultrasound image alignment for diagnosis of pediatric distal forearm fractures.International journal of computer assisted radiology and surgery · 2025
    Article
4 · The record

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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

7 authors.

Josephine Edith PohlDepartment of Pediatric Surgery, University of Technology Dresden, Dresden, Saxony, Germany.
Philipp SchwerkDepartment of Pediatric Surgery, University of Technology Dresden, Dresden, Saxony, Germany.
René MauerFaculty of Medicine Carl Gustav Carus, Institute for Medical Informatics and Biometry (IMB), University of Technology Dresden, Dresden, Saxony, Germany.
Gabriele HahnDepartment of Radiology, University of Technology Dresden, Dresden, Saxony, Germany.
Ricardo BeckDepartment of Pediatric Surgery, University of Technology Dresden, Dresden, Saxony, Germany.
Guido FitzeDepartment of Pediatric Surgery, University of Technology Dresden, Dresden, Saxony, Germany.
Jurek SchultzDepartment of Pediatric Surgery, University of Technology Dresden, Dresden, Saxony, Germany. jurek.schultz@uniklinikum-dresden.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSeveral studies have advocated the use of ultrasound to diagnose distal forearm fractures in children. However, there is limited data on the diagnostic accuracy of ultrasound for distal forearm fractures when conducted by pediatric surgeons or trainees who manage orthopedic injuries in children. The objective of this study was to determine the diagnostic accuracy of point-of-care ultrasound (POCUS) for pediatric distal forearm fractures when conducted by pediatric surgeons and trainees after minimal training.

methodsThis diagnostic study was conducted in a tertiary hospital emergency department in Germany. Participants were children and adolescents under 15 years of age who presented to the emergency department with an acute, suspected, isolated distal forearm fracture requiring imaging. Pediatric surgeons and trainees, after minimal training for sonographic fracture diagnosis, performed 6-view distal forearm POCUS on each participant prior to X-ray imaging. All data was retrospectively collected from the hospital's routine digital patient files. The primary outcome was the diagnostic accuracy of POCUS compared to X-ray as the reference standard.

resultsFrom February to June 2021, 146 children under 15 met all inclusion and exclusion criteria, and 106 data sets were available for analysis. Regarding the presence of a fracture, X-ray and Wrist-POCUS showed the same result in 99.1%, with 83/106 (78.3%) fractures detected in both modalities and one suspected buckle fracture on POCUS not confirmed in the radiographs. Wrist-POCUS had a sensitivity of 100% (95% CI [0.956, 1]) and a specificity of 95.8% (95% CI [0.789, 0.999]) compared to radiographs. In 6 cases, there were minor differences regarding a concomitant ulnar buckle. The amount of prior ultrasound training had no influence on the accuracy of Wrist-POCUS for diagnosing distal forearm fractures. All fractures were reliably diagnosed even when captured POCUS images did not meet all quality criteria.

conclusionPediatric surgeons and trainees, after minimal training in POCUS, had excellent diagnostic accuracy for distal forearm fractures in children and adolescents using POCUS compared to X-ray.

Indexed as

Point-of-Care SystemsRadius FracturesUlna FracturesUltrasonographyAdolescentChildChild, PreschoolEmergency Service, HospitalFemaleForearm InjuriesGermanyHumansInfantMaleOrthopedic SurgeonsRadiographyChildDistal Forearm FracturesFracture UltrasoundHuman distal forearm fracturesRetrospective studyUltrasonographyUltrasoundWrist-POCUSX-rays

Identifiers

PMID39334059
PMCPMC11428926

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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.