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Thermal Changes During Clavicle Fracture Healing in Children
Filip Jurić1,2, Anko Antabak2,3, Ivonne Žgaljardić2,4
1Department of Pediatric Surgery, Clinical Hospital Center Rijeka, 51000 Rijeka, Croatia.
Journal of Clinical Medicine
|December 17, 2024
Summary
Infrared thermography (IRT) shows promise for monitoring pediatric clavicle fractures. Temperature changes correlate with callus formation, potentially reducing the need for X-rays during healing.
Area of Science:
- Pediatric Orthopedics
- Medical Imaging
- Biomedical Engineering
Background:
- Clavicle fractures are common in children, usually managed non-surgically.
- Radiographs are standard for diagnosis and monitoring fracture healing.
- Infrared thermography (IRT) is a novel method for fracture detection.
Purpose of the Study:
- To correlate temperature changes measured by IRT with callus formation in pediatric clavicle fractures.
- To evaluate IRT as a potential alternative to X-rays for monitoring fracture healing.
Main Methods:
- Children (4-18 years) with clavicle fractures were enrolled.
- IRT measured skin temperature over the fracture and contralateral side.
- Ultrasound assessed callus formation, with measurements taken on days 1, 4, 8, 15, and 22.
Main Results:
- A maximum temperature difference of 0.7°C was observed during callus proliferation.
- Temperature above the fracture decreased after callus formation, equaling the healthy side by day 22.
- Significant temperature differences were noted on days 4 and 8, correlating with callus development.
Conclusions:
- Elevated skin temperature above pediatric clavicle fractures indicates the inflammatory healing phase.
- IRT can detect callus formation, suggesting its potential to reduce reliance on X-rays.
- Temperature normalization correlates with advanced healing stages.
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