Sabzghabaei Anita, Shojaee Majid, Arhami Dolatabadi Ali, Manouchehrifar Mohammad, Asadi Mahdi
Emergency Department, Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Emergency Department, Imam Hossein Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Emerg (Tehran). 2016 Summer;4(3):132-5.
Distal radius fractures are a common traumatic injury, particularly in the elderly population. In the present study we examined the effectiveness of ultrasound guidance in the reduction of distal radius fractures in adult patients presenting to emergency department (ED).
In this prospective case control study, eligible patients were adults older than 18 years who presented to the ED with distal radius fractures. 130 consecutive patient consisted of two group of Sixty-Five patients were prospectively enrolled for around 1 years. The first group underwent ultrasound-guided reduction and the second (control group) underwent blind reduction. All procedures were performed by two trained emergency residents under supervision of senior emergency physicians.
Baseline characteristics between two groups were similar. The rate of repeat reduction was reduced in the ultrasound group (9.2% vs 24.6%; P = .019). The post reduction radiographic indices were similar between the two groups, although the ultrasound group had improved volar tilt (mean, 7.6° vs 3.7°; P = .000). The operative rate was reduced in the ultrasound groups (10.8% vs 27.7%; P = .014).
Ultrasound guidance is effective and recommended for routine use in the reduction of distal radius fractures.
桡骨远端骨折是一种常见的创伤性损伤，在老年人群中尤为常见。在本研究中，我们检查了超声引导在急诊科就诊的成年患者桡骨远端骨折复位中的有效性。
在这项前瞻性病例对照研究中，符合条件的患者为18岁以上因桡骨远端骨折就诊于急诊科的成年人。连续130例患者分为两组，每组65例，前瞻性纳入研究约1年。第一组接受超声引导下复位，第二组（对照组）接受盲目复位。所有操作均由两名经过培训的急诊住院医师在资深急诊医师的监督下进行。
两组的基线特征相似。超声组的再次复位率降低（9.2%对24.6%；P = 0.019）。两组复位后的影像学指标相似，尽管超声组的掌倾角有所改善（平均7.6°对3.7°；P = 0.000）。超声组的手术率降低（10.8%对27.7%；P = 0.014）。
超声引导在桡骨远端骨折复位中有效，推荐常规使用。
