ULTRASONOGRAPHIC EVALUATION OF BONE HEALING IN METACARPAL AND PHALANGEAL FRACTURES.

IF 0.6 4区医学 Q4 ORTHOPEDICS

Acta Ortopedica Brasileira Pub Date : 2025-11-10 eCollection Date: 2025-01-01 DOI:10.1590/1413-785220253306e285764

Antonio Carlos da Costa, Thiago Barros Pinheiro, Anees Salim Saad, Fabio Hideki Nishi Eto, Yussef Ali Abdouni, Diego Figueira Falcochio

{"title":"ULTRASONOGRAPHIC EVALUATION OF BONE HEALING IN METACARPAL AND PHALANGEAL FRACTURES.","authors":"Antonio Carlos da Costa, Thiago Barros Pinheiro, Anees Salim Saad, Fabio Hideki Nishi Eto, Yussef Ali Abdouni, Diego Figueira Falcochio","doi":"10.1590/1413-785220253306e285764","DOIUrl":null,"url":null,"abstract":"Objective: This study aimed to evaluate the use of ultrasonography (USG) compared to radiography in identifying callus formation and fracture healing in hand bones (metacarpals and phalanges).Methods: A prospective observational study was conducted with patients who sustained metacarpal and phalangeal fractures and were followed in the hand and microsurgery clinic of a philanthropic hospital in São Paulo between July 2023 and April 2024. Fractures were treated either conservatively or surgically with Kirschner wire fixation. Callus formation was monitored using serial weekly USG and radiographic examinations. Follow-up ended when bone healing was confirmed by both methods.Results: There was a difference in the mean time of callus appearance between ultrasonographic and radiographic evaluations for all analyzed variables.Conclusion: Ultrasonographic callus formation preceded radiographic callus appearance by approximately 18.2 days across all variables studied, suggesting that USG is a useful and alternative tool for the early diagnosis of bone healing in phalangeal and metacarpal fractures. Level of Evidence II; Prospective Observational Study .","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"33 6","pages":"e285764"},"PeriodicalIF":0.6000,"publicationDate":"2025-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12599809/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Acta Ortopedica Brasileira","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1590/1413-785220253306e285764","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q4","JCRName":"ORTHOPEDICS","Score":null,"Total":0}

引用次数: 0

Abstract

Objective: This study aimed to evaluate the use of ultrasonography (USG) compared to radiography in identifying callus formation and fracture healing in hand bones (metacarpals and phalanges).

Methods: A prospective observational study was conducted with patients who sustained metacarpal and phalangeal fractures and were followed in the hand and microsurgery clinic of a philanthropic hospital in São Paulo between July 2023 and April 2024. Fractures were treated either conservatively or surgically with Kirschner wire fixation. Callus formation was monitored using serial weekly USG and radiographic examinations. Follow-up ended when bone healing was confirmed by both methods.

Results: There was a difference in the mean time of callus appearance between ultrasonographic and radiographic evaluations for all analyzed variables.

Conclusion: Ultrasonographic callus formation preceded radiographic callus appearance by approximately 18.2 days across all variables studied, suggesting that USG is a useful and alternative tool for the early diagnosis of bone healing in phalangeal and metacarpal fractures. Level of Evidence II; Prospective Observational Study .

Abstract Image

查看原文本刊更多论文

掌骨和指骨骨折骨愈合的超声评价。

目的：本研究旨在评价超声（USG）与x线摄影在识别手骨（掌骨和指骨）骨痂形成和骨折愈合方面的应用。方法：对2023年7月至2024年4月期间在圣保罗一家慈善医院手外科和显微外科门诊就诊的掌骨和指骨骨折患者进行前瞻性观察研究。骨折采用保守或手术克氏针固定治疗。通过连续每周超声心动图和x线检查监测骨痂形成。两种方法均证实骨愈合后，随访结束。结果：超声和x线影像对所有分析变量的评价在骨痂出现的平均时间上存在差异。结论：在所有研究的变量中，超声图像上的骨痂形成比x线图像上的骨痂出现早18.2天，这表明USG是早期诊断指骨和掌骨骨折骨愈合的一种有用的替代工具。证据水平II；前瞻性观察研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Acta Ortopedica Brasileira Orthopedics-

CiteScore

0.90

自引率

14.30%

发文量

审稿时长

25 weeks

期刊介绍： A Revista Acta Ortopédica Brasileira, órgão oficial do Departamento de Ortopedia e Traumatologia da Faculdade de Medicina da Universidade de São Paulo (DOT/FMUSP), é publicada bimestralmente em seis edições ao ano (jan/fev, mar/abr, maio/jun, jul/ago, set/out e nov/dez) com versão em inglês disponível nos principais indexadores nacionais e internacionais e instituições de ensino do Brasil. Sendo hoje reconhecidamente uma importante contribuição para os especialistas da área com sua seriedade e árduo trabalho para as indexações já conquistadas.