Rivista di formazione e aggiornamento professionale del pediatra e del medico di base, fondata nel 1982. In collaborazione con l'Associazione Culturale Pediatri.
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Problemi speciali

L’ecografia nella diagnostica delle fratture

Ultrasonography in the diagnosis of fractures

Sergio Ghirardo1, Elena Neri2, Ingrid Rabach1, Giovanna Ventura1, Veronica Guastalla1,Pierpaolo Guastalla3, Alessandro Ventura1, Egidio Barbi2

1Clinica Pediatrica, 2Pronto Soccorso, 3Radiologia, IRCCS Materno-Infantile “Burlo Garofolo”, Trieste

Gennaio 2015 - pagg. 25 -30

Abstract
In the emergency room the current management of the patient with suspected fracture involves a physical examination of the damaged area, an examination by the specialist and the performance of radiographic projections depending on the clinical suspicion. Analyzing the literature, there is evidence that the ultrasound method can be useful to perform an assessment of the first instance. In fact, the ultrasound diagnosis of fractures is now a method that, if performed by trained staff (also in a short time), has a good specificity and sensitivity. So, it could be performed as a first approach to trauma with suspected fracture, before the specialist examination. The paper highlights that ultrasound, performed by the radiologist, or by a paediatrician after a short specific training, presents good sensitivity and specificity in the diagnosis of fractures of the hands and fingers.
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