X-Ray and ultrasonography in forearm trauma

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dc.contributor.authorTandogan, Meral
dc.contributor.authorKatirci, Yavuz
dc.contributor.authorTuran Sonmez, Feruze
dc.contributor.authorDuymaz, Hikmet
dc.contributor.authorAltun, Suleyman
dc.contributor.authorGunaydin, Yahya Kemal
dc.contributor.authorCoskun, Figen
dc.date.accessioned2025-03-26T16:10:00Z
dc.date.available2025-03-26T16:10:00Z
dc.date.issued2015
dc.departmentİstanbul Esenyurt Üniversitesi
dc.description.abstractIntroduction: This study aimed to prevent unnecessary exposure to ionising radiation, and to exclude nonfracture cases in children admitted to the emergency department with a forearm trauma, by showing that forearm trauma could be assessed with ultrasonography (USG) as accurately and precisely as with direct radiography. Methods: A total of 105 patients (67 males and 38 females) were included in the study. Before performing radiography, the patients were assessed with USG and the results were recorded. The findings of USG and radiography were then compared. Results: A total of 58 (55%) patients had fractures detected with USG. When compared to X-ray, the sensitivity of USG in detecting forearm fractures was 98.3% (95% confidence interval [CI]: 90.7-100%), specificity was 95.8% (95% CI: 86.0-98.9%), negative likelihood ratio was 0.018, positive likelihood ratio was 23.58, negative predictive value was 97.9% (95% CI: 88.7-99.9%), and positive predictive value was 96.6% (95% CI: 88.1-99.6%). Conclusion: The use of USG on selected cases of paediatric patients may provide a more rapid evaluation so as to reduce exposure to ionising radiation. We believe that USG will be useful in excluding non-fracture cases. © 2015, Medcom Limited. All rights reserved.
dc.identifier.doi10.1177/102490791502200603
dc.identifier.endpage358
dc.identifier.issn1024-9079
dc.identifier.issue6
dc.identifier.scopus2-s2.0-84946824370
dc.identifier.scopusqualityQ2
dc.identifier.startpage352
dc.identifier.urihttps://doi.org/10.1177/102490791502200603
dc.identifier.urihttps://hdl.handle.net/20.500.14704/771
dc.identifier.volume22
dc.indekslendigikaynakScopus
dc.language.isoen
dc.publisherMedcom Limited
dc.relation.ispartofHong Kong Journal of Emergency Medicine
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_Scopus_20250326
dc.subjectChild
dc.subjectDifferential diagnosis
dc.subjectFracture
dc.subjectSensitivity
dc.subjectSpecificity
dc.titleX-Ray and ultrasonography in forearm trauma
dc.typeArticle

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