ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2025
Ultrasound-guided closed reduction of distal radius Salter-Harris I and II fracture in children.
Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundDistal radial physeal fractures are the most common type of physeal fracture. However, few studies have been dedicated to the role of ultrasound-guided closed reduction in these fractures. This study aimed to investigate the utility of ultrasound-guided closed reduction in paediatric distal radial physeal fractures.
methodsConsecutive patients undergoing ultrasound-guided closed reduction of fractures in our department between November 2017 and October 2019 were included. The adequacy of realignment according to the ultrasound and radiography was recorded.
resultsA total of 51 patients were included in the study. Closed reduction was successfully achieved in all cases who underwent ultrasound-guided cases. The sensitivity for confirming successful anatomical manipulation with ultrasound was 95.3% (95% CI: 82.9 ~ 99.2%), while the specificity was 87.5% (95% CI: 46.7 ~ 99.3%). The positive predictive value (PPV) was 97.6% (95% CI: 85.9 ~ 99.9%), and the negative predictive value (NPV) was 77.8% (95% CI: 40.2 ~ 96.1%). The corresponding positive and negative likelihood ratios were 7.63 (95% CI: 1.22 ~ 47.77) and 0.05 (95% CI: 0.01 ~ 0.21). There was a high level of agreement between ultrasound and radiographs assessments of anatomical reduction [κ: 0.788 (± 0.117)]. Redisplacement occurred in three cases (5.9%) based on radiographic assessment with one case being a Salter-Harris type I injury and two cases being a Salter-Harris type II injury. At the final follow-up, all fractures had healed, resulting in excellent cosmesis without any other complications.
conclusionsOur data suggest that ultrasound-guided closed reduction can be considered an excellent alternative method for the treatment of distal radial physeal fractures.
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