The bone fracture is usually diagnosed using an X-ray examination (the method of choice). However, in the case of the youngest patients (children and adolescents), it carries a potential risk of X-ray radiation exposure. What is important, an X-ray examination often fails to detect occult fractures or the early stages of a fracture with or without bone fusion. The literature emphasizes that from 2 to 36% of fractures may be unnoticed on X-ray images (false negative results). Therefore, additional possibilities are sought to improve the initial diagnosis. It was shown that ultrasound could be used instead of the conventional imaging. The most important advantages of the usg are the absence of radiation exposure and greater availability. Moreover, the evaluator is able to show neovascularization during usg examination, which is important in bone healing process. The aim of this study is (1) to validate the ultrasound imaging method for the fracture management; (2) to use an ultrasound imaging to assess the bone fracture and healing process during 8 weeks post injury. This study consists of 50 patients aged 10-18 years old. The forearm fracture will be diagnosed using an X-ray imaging as well as an ultrasound imaging in the first 3 days post injury (initial study). It is planned to assess the healing process after 2, 4, 6 and/or 8 weeks post injury (comparative study).
Age range
10 Years – 18 Years
Sex
ALL
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Mean Change from Baseline in fracture management using x-ray imaging and medical ultrasound within 8 weeks post-injury
Timeframe: through study completion, an average of 1 year
Mean Change from Baseline in adhesions development using medical ultrasound within 8 weeks post-injury
Timeframe: through study completion, an average of 1 year
Mean Change from Baseline in vascularization on POWER Doppler within 8 weeks post-injury
Timeframe: through study completion, an average of 1 year
Mean Change from Baseline in Pain Scores on the Visual Analog Scale within 8 weeks post-injury
Timeframe: through study completion, an average of 1 year