Abi Khalil Samer, Haddad-Zebouni Soha, Roukoz Sami, Smayra Tarek, Kamal Hachem, Menassa-Moussa Lina, Aoun Noël J, Ghossain Michel A
Departments of Radiology, CHU Hôtel-Dieu de France, Beirut, Lebanon.
J Med Liban. 2011 Apr-Jun;59(2):70-4.
To assess the value of ultrasound as an adjunct to radiography in minor musculoskeletal pediatric trauma.
Fifty children with 53 suspected fractures were referred for upper and/or lower limbs X-rays, followed by ultrasound. On radiography, we noted presence of fracture, of soft tissue thickening, or absence of any lesion. On ultrasound, we noted presence of fracture, of soft tissue lesion, or absence of lesions.
A fracture was seen on both examinations in 25 patients with 28 fractures.In 4 patients where only soft tissue thickening was seen on radiography, ultrasound showed fracture in 1 patient, hematoma in 1 patient and was normal in 2 patients. In another patient with a doubtful diagnosis of fracture on radiography, ultrasound was normal. In 20 patients with normal X-rays, ultrasound showed fracture in 6 patients, hematoma in 7 patients and was normal in 7 patients.
Ultrasound was helpful as an adjunct to radiography, it yielded additional bone (7/50 patients) and soft tissue (8/50 patients) diagnostic information in 30% of patients. However, ultrasound remains operator-dependent and can be used only in particular circumstances, especially in children with normal X-rays and a high index of clinical suspicion for an occult or subradiological fracture.
评估超声作为辅助手段在小儿肌肉骨骼轻度创伤中对X线摄影的价值。
50例疑似骨折的儿童接受了上肢和/或下肢X线检查，随后进行超声检查。在X线摄影中，我们记录骨折、软组织增厚或无任何病变的情况。在超声检查中，我们记录骨折、软组织病变或无病变的情况。
25例患者（共28处骨折）的两种检查均发现骨折。在4例X线摄影仅见软组织增厚的患者中，超声检查显示1例骨折、1例血肿、2例正常。在另1例X线摄影骨折诊断存疑的患者中，超声检查正常。在20例X线检查正常的患者中，超声检查显示6例骨折、7例血肿、7例正常。
超声作为X线摄影的辅助手段是有帮助的，它在30%的患者中提供了额外的骨骼（7/50例患者）和软组织（8/50例患者）诊断信息。然而，超声仍然依赖于操作者，并且仅能在特定情况下使用，特别是在X线检查正常但临床高度怀疑隐匿性或亚放射学骨折的儿童中。
