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Related Concept Videos

Fractures: Bone Repair01:27

Fractures: Bone Repair

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Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
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Related Experiment Video

Updated: Jan 11, 2026

Assessment of Bone Fracture Healing Using Micro-Computed Tomography
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ULTRASONOGRAPHIC EVALUATION OF BONE HEALING IN METACARPAL AND PHALANGEAL FRACTURES.

Antonio Carlos da Costa1, Thiago Barros Pinheiro2, Anees Salim Saad3

  • 1Irmandade Santa Casa de Misericordia de Sao Paulo, Grupo de Mao e Microcirurgia, Sao Paulo, SP, Brazil.

Acta Ortopedica Brasileira
|November 12, 2025
PubMed
Summary

Ultrasonography (USG) detects callus formation in hand fractures about 18 days earlier than radiography. This suggests USG is a valuable tool for monitoring bone healing in metacarpal and phalangeal fractures.

Keywords:
Finger PhalangesFractureFracture HealingMetacarpalsUltrasonography

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Area of Science:

  • Orthopedics
  • Radiology
  • Biomedical Engineering

Background:

  • Fracture healing assessment is crucial for patient outcomes.
  • Radiography is the standard imaging modality for evaluating bone healing.
  • Early detection of callus formation can optimize treatment strategies.

Purpose of the Study:

  • To compare the efficacy of ultrasonography (USG) versus radiography in identifying callus formation and assessing fracture healing in metacarpal and phalangeal bones.

Main Methods:

  • A prospective observational study involving patients with metacarpal and phalangeal fractures.
  • Fractures were managed conservatively or surgically with Kirschner wire fixation.
  • Serial weekly ultrasonography and radiographic examinations monitored callus formation until confirmed bone healing.

Main Results:

  • A significant difference was observed in the mean time of callus appearance between ultrasonographic and radiographic evaluations.
  • Ultrasonography identified callus formation approximately 18.2 days earlier than radiography across all variables.

Conclusions:

  • Ultrasonography is a sensitive and earlier indicator of bone healing compared to radiography for hand fractures.
  • USG offers a valuable alternative for the early diagnosis of bone healing in phalangeal and metacarpal fractures.