McCreary David J, Chan Nigel
Paediatric Emergency Department, Sunderland Royal Hospital, Sunderland and South Tyneside NHS Foundation Trust.
Paediatric Emergency Department, Royal Hospital for Children, Glasgow, NHS Greater Glasgow & Clyde, UK.
Pediatr Emerg Care. 2025 Sep 1;41(9):744-747. doi: 10.1097/PEC.0000000000003387. Epub 2025 Mar 31.
Clavicle fractures are a common injury presenting to the pediatric emergency department (PED) and account for 10% to 15% of all pediatric fractures. X-ray is the current standard imaging modality for the diagnosis of clavicle fractures though several studies in the literature have proposed the role of POCUS to be considered as a first-line imaging modality. We present 2 cases of paediatric clavicle fractures that were initially missed on X-ray before being identified using POCUS. POCUS has been shown to have a high diagnostic accuracy in detecting clavicle fractures with a sensitivity of 94% (95% CI: 89%-96%) and specificity of 98% (95% CI: 91%-99%) in one recent systematic review. POCUS should be considered as the first-line imaging modality in clavicle injuries in pediatric patients as it is highly accurate at detecting clavicle fractures, is quick and painless to perform, and is an easily teachable skill.
锁骨骨折是儿科急诊科常见的损伤，占所有儿科骨折的10%至15%。X线是目前诊断锁骨骨折的标准影像学检查方法，不过文献中的多项研究提出，床旁超声（POCUS）应被视为一线影像学检查方法。我们报告2例儿科锁骨骨折病例，最初X线检查漏诊，后经POCUS检查得以确诊。在最近一项系统评价中，POCUS检测锁骨骨折的诊断准确性较高，敏感性为94%（95%CI：89%-96%），特异性为98%（95%CI：91%-99%）。POCUS应被视为儿科患者锁骨损伤的一线影像学检查方法，因为它在检测锁骨骨折方面高度准确，操作快速且无痛，而且是一项易于传授的技能。
