Scientific articleUltrasound-Assisted Closed Reduction of Distal Radius Fractures
Section snippets
Patients
This was a prospective study of a group of patients in whom ultrasound was used to monitor the closed reduction of distal radius fractures and compared with a retrospective control group in whom fracture reduction was performed under fluoroscopic guidance or unassisted by imaging. The present study was undertaken after receiving approval from our institutional review board. Consecutive patients undergoing ultrasound-guided closed reduction of an acute displaced distal radius fracture between
Results
Prereduction characteristics are listed in Table 1. There were no significant differences between the groups in regard to age and x-ray parameters.
The accuracy of ultrasonography measurements are demonstrated in Tables 2 and 3. Table 2 presents the displacement distances of the distal radius fractures measured by radiography and ultrasonography, which were determined from the dorsal, volar, and radial views before and immediately after reduction. No significant differences were found between
Discussion
Most patients with a displaced distal radius fracture are initially managed with closed reduction under fluoroscopy or without imaging assistance in the emergency room.8, 15 Even when surgery is indicated, a closed reduction is often performed to reduce pain and swelling. However, these methods have some problems. Fluoroscopy is not immediately available in the emergency room in Japan and many other countries. The patient and physician are exposed to radiation with its use. Although
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