Graif M, Stahl-Kent V, Ben-Ami T, Strauss S, Amit Y, Itzchak Y
Department of Radiology, Chaim Sheba Medical Center, Tel Aviv University, Tel Hashomer, Israel.
Pediatr Radiol. 1988;18(5):383-5. doi: 10.1007/BF02388040.
Two infants of 24 and 20 months of age with painful local swelling at the femoral and clavicular regions were investigated by ultrasound after a negative radiographic study of the adjacent bones. In both children high resolution ultrasound clearly revealed the presence of bone fractures in addition to the soft tissue hematomas. These fractures were confirmed by a repeat radiographs performed 6 and 8 days later. Although sonography is not the method of choice for the detection of bone fractures, it may be worthwhile to examine the bone contour for a fracture when a painful swelling adjacent to bone is present. The method may be particularly rewarding in children due to its rapid non-invasive nature and to the small tissue thickness that has to be penetrated.
两名分别为24个月和20个月大的婴儿，在对相邻骨骼进行的X线检查呈阴性后，因股骨和锁骨区域出现疼痛性局部肿胀而接受了超声检查。在这两名儿童中，高分辨率超声除显示软组织血肿外，还清晰地发现了骨折。6天和8天后进行的重复X线检查证实了这些骨折。虽然超声检查并非检测骨折的首选方法，但当骨骼附近出现疼痛性肿胀时，检查骨骼轮廓以查找骨折可能是值得的。由于其快速、无创的特性以及需要穿透的组织厚度较小，该方法在儿童中可能特别有价值。
