[Translated article] Diagnostic accuracy of ultrasound in the detection of distal radius fractures in a pediatric population

Q3 Medicine

Revista Espanola de Cirugia Ortopedica y Traumatologia Pub Date : 2026-09-01 Epub Date: 2026-06-23 DOI:10.1016/j.recot.2026.06.009

M. Vázquez Gómez, M. Galipienso Eri, D. Noriego Muñoz, J.B. Santa María, V.M. Apraez Portilla, J. Dellonder Frigolé

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引用次数: 0

Abstract

Introduction

Forearm fractures are extremely frequent in the pediatric population, representing up to 50% of all fractures observed in children. Until now, radiography has been considered the gold standard.

Material and methods

Prospective observational study in pediatric patients with suspected distal radius fracture. An ultrasound study of the distal third of the forearm was performed in every patient recruited according to a standardised method. Subsequently, this result was comparatively evaluated with a radiological study in two planes.

Results

A total of 115 patients were recruited with a mean age of 9.59 years. A sensitivity of ultrasound for fracture detection of 95% and a diagnostic specificity of 98.18% were obtained. The positive predictive value was 98.28% and a positive likelihood ratio of 52.25 [7.49; 364.66] was obtained.

Conclusion

Ultrasound has proven to be an alternative to radiography in the diagnosis of non-angulated fractures, thanks to its diagnostic immediacy, absence of irradiation and high accuracy. A procedure that achieves high specificity and sensitivity even in inexperienced hands.

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【翻译文章】小儿桡骨远端骨折超声诊断的准确性。

前臂骨折在儿科人群中极为常见，占儿童骨折的50%。到目前为止，放射照相术一直被认为是黄金标准。材料与方法：对疑似桡骨远端骨折的儿童患者进行前瞻性观察研究。根据标准化方法，对招募的每位患者进行前臂远端三分之一的超声研究。随后，该结果与两个平面的放射学研究进行了比较评价。结果：共纳入115例患者，平均年龄9.59岁。超声检测骨折的灵敏度为95%，诊断特异性为98.18%。阳性预测值为98.28%，阳性似然比为52.25 [7.49；得到364.66]。结论：超声在诊断非成角骨折中具有诊断迅速、不需照射、准确性高等优点，可替代影像学检查。即使在没有经验的人手中也能达到高特异性和敏感性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Revista Espanola de Cirugia Ortopedica y Traumatologia Medicine-Surgery

CiteScore

1.10

自引率

0.00%

发文量

156

审稿时长

51 weeks

期刊介绍： Es una magnífica revista para acceder a los mejores artículos de investigación en la especialidad y los casos clínicos de mayor interés. Además, es la Publicación Oficial de la Sociedad, y está incluida en prestigiosos índices de referencia en medicina.