ultrasound-guided reduction of distal radius fractures

نویسندگان

anita sabzghabaei emergency department, loghman hakim hospital, shahid beheshti university of medical sciences, tehran, iran.

majid shojaee emergency department, imam hossein hospital, shahid beheshti university of medical sciences, tehran, iran.

ali arhami dolatabadi emergency department, imam hossein hospital, shahid beheshti university of medical sciences, tehran, iran.

mohammad manouchehrifar emergency department, loghman hakim hospital, shahid beheshti university of medical sciences, tehran, iran.

چکیده

introduction: 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). methods: 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. results: 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). conclusion: ultrasound guidance is effective and recommended for routine use in the reduction of distal radius fractures.

برای دانلود باید عضویت طلایی داشته باشید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Ultrasound-Guided Reduction of Distal Radius Fractures

BACKGROUND Ultrasound (US) may provide the emergency physician with the ability to do real-time assessment of fracture reduction adequacy. OBJECTIVES To assess whether US guidance aids in determining the adequacy of distal radius fracture reduction in the emergency department (ED), and to compare the rates of successful reduction with and without US. METHODS We conducted a prospective study...

متن کامل

Ultrasound-assisted closed reduction of distal radius fractures.

PURPOSE To assess the accuracy and ability of ultrasound for monitoring closed reduction for distal radius fractures. METHODS Consecutive patients undergoing ultrasound-guided closed reduction of acute, displaced distal radius fractures between January 2003 and December 2006 at our department were enrolled. The control group was extracted from patients who underwent a closed reduction for sim...

متن کامل

Comparison of close reduction and percutaneous pin fixation as treatments for distal metaphyseal radius fractures

Background: Distal radius fractures are one of the most common fractures of skeletal system and because of the aging of population, its incidence is rising. The aim of the present research was to evaluate the close reduction and percutaneous pin fixation as a treatment option. Material and methods: 44 patients who were type 2 according to universal classification or type 2 or 3 according to Ol...

متن کامل

Ultrasound-Assisted Distal Radius Fracture Reduction

Introduction Closed reduction of distal radius fractures (CRDRF) is a commonly performed emergency department (ED) procedure. The use of point-of-care ultrasound (PoCUS) to diagnose fractures and guide reduction has previously been described. The primary objective of this study was to determine if the addition of PoCUS to CRDRF changed the perception of successful initial reduction. This was me...

متن کامل

Nerve Stimulator Guided Axillary Block in Painless Reduction of Distal Radius Fractures; a Randomized Clinical Trial

INTRODUCTION Given the high prevalence of upper extremity fractures and increasing need to perform painless reduction in the emergency departments, the use of analgesic methods with fewer complications and more satisfaction appears to be essential. The aim of this study is comparison the nerve stimulator guided axillary block (NSAB) with intravenous sedation in induction of analgesia for painle...

متن کامل

Distal Radius Fractures

With the wide array of treatment options now available, this is an exciting era for the treatment of fractures of the distal radius. An improved understanding of kinematics, bone quality, and muscle forces acting across the fracture has led to increased awareness of a fracture’s relative stability, as well as the development of innovative devices to counteract these forces and restore stability...

متن کامل

منابع من

با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید


عنوان ژورنال:
emergency journal

جلد ۴، شماره ۳، صفحات ۱۳۲-۱۳۵

میزبانی شده توسط پلتفرم ابری doprax.com

copyright © 2015-2023