Gyermekkori csuklótáji törések diagnosztikája ultrahanggal | Ultrasonographic diagnosis of distal pediatric forearm fractures

Absztrakt: Bevezetes es celkitűzes: Prospektiv tanulmanyunk celja a gyermekkori csuklotoresek ultrahang-diagnosztikajanak ismertetese es ket mozgasszervi centrum eredmenyenek bemutatasa. Modszer: 2011 januarja es 2015 decembere kozott 467, 1–15 ev kozotti gyermek ultrahangvizsgalatat vegeztuk el. Valamennyi gyermek zart serulest szenvedett el es nyitott epiphysisfugaval rendelkezett. Az ultrahangvizsgalatot rezidensek es ortoped-traumatologus, illetve gyermeksebesz szakorvosok vegeztek kozvetlenul az elsődleges fizikalis vizsgalatot kovetően, 7–14 MHz frekvenciatartomanyu linearis transzducerekkel. Az eredmenyeket hagyomanyos ketiranyu csuklo-rontgenfelvetelekkel hasonlitottuk ossze. Eredmenyek: 97%-os szenzitivitast es 96%-os specificitast talaltunk. Elmozdulassal es komolyabb klinikai konzekvenciaval jaro toresek ultrahanggal is mind felismeresre kerultek. Kovetkeztetes: A mozgasszervi ultrahangvizsgalat a gyermekkori csuklotaji toresek igazolasanak vagy kizarasanak rendkivul hatekony eszkoze a napi gyakorlatban. Orv Hetil. 2017; 158(24): 944–948. | Abstract: Introduction and aim: The aim of our prospective study was to evaluate the effectivity of sonographic diagnosis of pediatric wrist fractures and analyzing the results of two pediatric musculoskeletal centers. Method: Between 2011 January and 2015 December 467 children aged 0–15 with closed wrist injuries and open growth plates were sonographically and radiologically evaluated by an orthopaedic surgeon or a resident in trainee. Sonography was performed immediately after physical examination with linear probes of 7–14 Mhz frequency. Results were compared to conventional two plane wrist x-rays. Results: We found 97 sensitivity and 96 specificity of the sonographic evaluation. Fractures with dislocations and more serious clinical consequences were never missed. Conclusion: Musculoskeletal ultrasound is a very effective tool in daily routine for diagnosing or excluding pediatric wrist fractures. Orv Hetil. 2017; 158(24): 944–948.