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Rehabilitation Practice and Science

Translated Title

使用超音波診斷被忽略的幼兒股骨骨折:病例報告

Abstract

Ultrasonography is sensitive and reliable for detecting pediatric fractures, including incomplete fractures, clavicle fractures, and fractures in unossified bones. Ultrasonography is also a good imaging modality for pediatric bone healing.A 1-year-5-month-old boy suffered from a painful mass on the left thigh due to a traction injury. His parents brought him to the emergency room, and the initial impression was soft tissue injury. The patient presented with disabling pain and was unable to walk for a few days following the injury. Ultrasonography was scheduled and revealed cortical disruption of the femoral shaft with irregular hyperechoic materials over the area of cortical disruption. Under the impression of the femoral fracture, radiography was performed, which showed a non-displaced femoral shaft fracture with callus formation. Four weeks later (8 weeks after injury), ultrasound examination revealed a smooth cortical bone surface, which was highly correlated with radiography findings. Ultrasonography can be the first imaging study performed for suspected occult fracture and to observe subsequent bone union in uncooperative children.

Language

Traditional Chinese

First Page

229

Last Page

234

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