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Bedside Ultrasound Diagnosis of Nonangulated Distal Forearm Fractures in the Pediatric Emergency Department by Frances M. Chaar-Alvarez; Fred Warkentine; Keith Cross; Sandra Herr; Ronald I. Paul is a Medicine article available to read on EtoBox.

What is Bedside Ultrasound Diagnosis of Nonangulated Distal Forearm Fractures in the Pediatric Emergency Department about?

## Objectives: Ultrasound (us) may be a useful tool for rapidly diagnosing fractures. our objective was to determine the accuracy of us as compared with radiographs in the detection of nonangulated distal forearm fractures. ## Methods: Distal forearm us was performed and interpreted at the bedside by a pediatric emergency medicine physician before radiography in a prospective sample of children with possible nonangulated distal forearm fractures. a second pediatric emergency medicine physician with extensive us experience gave a final interpretation of the images. this second reviewer was blinded to both clinical and radiographic findings. the primary outcome was accuracy in the detection of fracture via the blinded reviewer's us interpretation when compared with the radiologist's clinical radiography results. patient-reported faces pain scores (range, 0-5) associated with both us and radiography were compared. ## Results: Of 101 enrolled patients, 46 had a fracture detected by the radiologist. when compared with radiographs, the blinded us interpretation had an overall accuracy of 94% (95% confidence interval [ci], 88%-99%). sensitivity and specificity were 96% (95% ci, 85%-99%) a

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Author

Frances M. Chaar-Alvarez; Fred Warkentine; Keith Cross; Sandra Herr; Ronald I. Paul

Publisher

Ovid Technologies (Wolters Kluwer Health)

Published

2011

Language

EN

Field

Medicine (Health Sciences)