Ackermann O, Sesia S, Berberich T, Liedgens P, Eckert K, Grosser K, Roessler M, Rülander C, Vogel T
Klinik für Orthopädie und Unfallchirurgie, Klinikum Duisburg, Zu den Rehwiesen 9, 47055 Duisburg.
Unfallchirurg. 2010 Oct;113(10):839-42, 844. doi: 10.1007/s00113-010-1825-5.
The exact determination of the extent of deformities in juvenile proximal humerus fractures is difficult with plain x-rays. The aim of this study was to find out whether proximal humerus fractures can be diagnosed and the extent of the deformity can be detected by ultrasonography.
In a prospective, multicentre trial children aged 0-12 years with suspected proximal humerus fractures were examined. Initially a standardized sonographic evaluation was performed and the extent and the direction of the deformity were determined. The recommended treatment was noted. Afterwards standard x-rays were taken and the results of both diagnostic procedures were compared.
A total of 33 children were examined, 14 male and 19 female, with a mean age of 7.6 years. In the ultrasound examination 17 out of 18 proximal humerus fractures were detected. In comparison to x-ray diagnostics ultrasonography proved to have a sensitivity of 94% and a specificity of 100%. In 16 cases ultrasonography gave a better result than x-ray imaging and x-ray was better in 5 cases.
Ultrasonography is suitable for detection and exclusion of fractures and better than x-ray diagnosis for evaluation of the type and direction of deformations of proximal humerus fractures.
对于儿童近端肱骨骨折，通过普通X线片很难准确确定畸形的程度。本研究的目的是探究超声检查能否诊断近端肱骨骨折并检测畸形的程度。
在一项前瞻性多中心试验中，对0至12岁疑似近端肱骨骨折的儿童进行检查。首先进行标准化的超声评估，确定畸形的程度和方向，并记录推荐的治疗方法。之后拍摄标准X线片，比较两种诊断方法的结果。
共检查了33名儿童，其中14名男性，19名女性，平均年龄7.6岁。在超声检查中，18例近端肱骨骨折中有17例被检测到。与X线诊断相比，超声检查的敏感性为94%，特异性为100%。16例超声检查结果优于X线成像，5例X线成像结果更好。
超声检查适用于骨折的检测与排除，在评估近端肱骨骨折畸形的类型和方向方面优于X线诊断。
