Is Ultrasound qualified in Diagnosis of Juvenile Forearm Fractures?

Introduction: Distal torus fractures of the forearm are a common pathology of the growing bone. Literature data hints at simple and reproducible imaging of these fractures by means of ultrasound. Because indication of x-ray examination should be handled restrictively in growing children, this prospective trial was to examine the potential of ultrasound diagnosis compared to radiographic imaging. Methods: In a prospective trial, 32 patients aged 0-12 years with suspected forearm fracture underwent ultrasound and x-ray imaging. The findings and the therapeutic consequences were compared. Results: Diagnoses were identicalin 29 of 32 patients, therapeutic recommendations in 31 of 32 cases. Ultrasound imaging has a sensitivity of 0.96 and Specificity of 1.0. Discussion: The trial reveals a good presentation of pathologic findings. An ultrasound-based imaging of these fractures seems to be a reasonable alternative.