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Using ultrasound to diagnose long bone fractures
Alexandra J O'Brien1, Mohamad A Moussa
1Alexandra J. O'Brien practices in neurosurgery and orthopedic surgery at Saint Vincent Hospital in Worcester, Mass. Mohamad A. Moussa is the program director of the emergency medicine residency program and assistant professor of emergency medicine at the University of Toledo in Toledo, Ohio. The authors have disclosed no potential conflicts of interest, financial or otherwise.
Abstract:
Point-of-care ultrasound may be an alternative to radiographs for diagnosing long bone fractures when medical resources are limited. Safe and timesaving, ultrasound also can be used in the ED as a screening tool for suspected long bone fractures and can detect associated musculoskeletal injuries. Ultrasound can be used in radiation-sensitive patients such as children and pregnant patients.Studies have found that clinicians using ultrasound can detect long bone fractures with an average 90% sensitivity and specificity after an average of 1 to 4 hours total of didactic and practical training. More research is needed to determine standards for ultrasound training, patient morbidity outcomes, cost effectiveness, and insurance benefits.
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