High frequency ultrasound in evaluation of traction efficacy among children with femoral fractures

Jun CHEN; Xing LIU; Run ZHANG; Yin ZHOU; Yinqiang CAO; Tao LIU; Xiaowei YUAN

doi:10.16016/j.1000-5404.201906035

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High frequency ultrasound in evaluation of traction efficacy among children with femoral fractures

Clinical Medicine | 更新时间：2026-01-09

- High frequency ultrasound in evaluation of traction efficacy among children with femoral fractures
- Journal of Third Military Medical University Vol. 41, Issue 21, Pages: 2087-2093(2019)
- 作者机构：
  
  400014 重庆，重庆医科大学附属儿童医院骨一科，儿童发育疾病研究教育部重点实验室，儿童发育重大疾病国家国际科技合作基地，儿科学重庆市重点实验室
- 作者简介：
- 基金信息：
  
  the Natural Science Foundation of Chongqing(CSTC2018jcyjAX0.259);the Key Project of Chongqing Health Committee(2019ZDXM047)
- DOI：10.16016/j.1000-5404.201906035
  CLC： R445.1;R454.4;R683.42
- Received：06 June 2019，
  
  Revised：2019-09-06，
  
  Published：15 November 2019
- 稿件说明：
移动端阅览
Jun CHEN, Xing LIU, Run ZHANG, et al. High frequency ultrasound in evaluation of traction efficacy among children with femoral fractures[J]. Journal of Third Military Medical University, 2019, 41(21): 2087-2093.
DOI：

Jun CHEN, Xing LIU, Run ZHANG, et al. High frequency ultrasound in evaluation of traction efficacy among children with femoral fractures[J]. Journal of Third Military Medical University, 2019, 41(21): 2087-2093. DOI： 10.16016/j.1000-5404.201906035.

摘要

目的

探讨高频超声动态评估儿童股骨骨折前及治疗后疗效的应用价值。

方法

利用高频超声和X线检查同时对62例行牵引治疗的股骨骨折患儿在伤后第1、2、3、4周进行随访观察，观察骨折周围软组织损伤(如肌肉、血管等)情况，骨折的成角、移位情况及骨痂周围血供(测量血流阻力指数RI)及骨痂长度和厚度，对比两者之间首次检测到骨痂的时间及骨痂长度、厚度显示情况。

结果

超声和X线最早显示骨痂时间对比具有统计学差异(

0.05)，提示高频超声对于骨痂形成的显示早于X线检查；在第2、3周检查骨痂长度及厚度，超声和X线存在统计学差异(

0.05)，提示高频超声显示的骨痂厚度及长度大于X线；与X线检查相比，第4周时超声的骨痂显示量没有统计学差异。

结论

高频超声能动态显示骨折对位对线情况，早期显示骨折断端周围软组织损伤(如肌肉、血管等)及骨痂的生长情况，且高频超声与X线在检测骨性骨痂的应用中具有一致性，是一种安全无辐射的骨骼系统检查方法。

Abstract

Objective

To explore the application of high frequency ultrasound in evaluation of traction treatment for femoral fracture in children.

Methods

A total of 62 children with femoral fracture and undergoing traction treatment in our department from March 2017 to December 2018 were recruited in this study. High frequency ultrasound and X-ray plain filming were used respectively to detect them at admission and at 1

3 and 4 weeks after the initial fracture occurred. The soft tissue injury (muscles and vessels) around the fracture

angle and displacement of the fracture

blood supply around the osteotylus (resistance index

RI)

and length and thickness of the osteotylus during fracture healing were observed and monitored. The results obtained by ultrasound were compared with X-ray in terms of the time of the first detection of osteotylus and the size of the osteotylus.

Results

Ultrasound and X-ray showed statistically significant difference in the first indication of callus (

0.05)

with that of former earlier. In the 2nd and 3rd weeks

statistical differences were seen in length and thickness of the osteotylus between the ultrasound and X-ray examination (

0.05)

with those of ultrasound longer and thicker. But no such differences were observed at the 4th week between the 2 methods.

Conclusion

High frequency ultrasound can dynamically present the fracture line

and early display the damage of soft tissue (such as muscles

blood vessels

etc.) around the fracture site and the growth of the osteotylus. High frequency ultrasound has consistent results with X-ray examination in the detection of bony callus

and is a safe non-radiative skeletal system examination.

关键词

Keywords

references

MANSOOR K, SHAHNAWAZ S, AHMAD A, et al . Epidemiology of childhood fractures in the city of Karachi[J ] . J Ayub Med Coll Abbottabad, 2015, 27(3): 608-612.

NERI E, BARBI E, RABACH I, et al . Diagnostic accuracy of ultrasonography for hand bony fractures in paediatric patients[J ] . Arch Dis Child, 2014, 99(12): 1087-1090. DOI:10.1136/archdischild-2013-305678.

HERREN C, SOBOTTKE R, RINGE M J, et al . Ultrasound-guided diagnosis of fractures of the distal forearm in children[J ] . Orthop Traumatol Surg Res, 2015, 101(4): 501-505. DOI:10.1016/j.otsr.2015.02.010.

ZHANG Y, CHEN Y, HUANG H, et al . Diagnostic radiography exposure increases the risk for thyroid microcarcinoma: a population-based case-control study[J ] . Eur J Cancer Prev, 2015, 24(5): 439-446.DOI: 10.1097/CEJ.0000000000000169.

OLSZYNSKI W P, BROWN J P, ADACHI J D, et al . Multisite quantitative ultrasound for the prediction of fractures over 5 years of follow-up: the Canadian multicentre osteoporosis study[J ] .J Bone Miner Res, 2013, 28(9):2027-2034. DOI:10.1002/jbmr.1931.

SHULAN J M, VYDRO L, SCHNEIDER A B, et al . Role of biomarkers in predicting the occurrence of thyroid neoplasms in radiation-exposed children[J ] . Endocr Relat Cancer, 2018, 25(4): 481-491. DOI:10.1530/ERC-17-0408.

WEINBERG E R, TUNIK M G, TSUNG J W. Accuracy of clinician-performed point-of-care ultrasound for the diagnosis of fractures in children and young adults[J]. Injury, 2010, 41(8): 862-868. DOI:10.1016/j.injury.2010.04.020.

常洪波, 李炳辉, 刘颖, 等.高频超声诊断肋软骨骨折[J].中华超声影像学杂志, 2000(3): 180-181.

CHANG H B, LI B H, LIU Y, et al . Diagnosing costicartilage fracture by high frequency ultrasound[J ] . Chin J Uitrason, 2000( 3): 180-181.

张志桐, 申素芳, 胡长青, 等.超声监测下长骨骨折复位髓内针固定术的可行性初探[J].中国医疗设备, 2014, 29(3): 161-163, 192.

ZHANG Z T, SHEN S F, HU C Q, et al . Feasibility of long bone fractures with intramedullary nail fixation under ultrasound monitoring[J ] . China Med Devices, 2014, 29(3): 161-163, 192.

TURNER A L, STEVENSON M D, CROSS K P. Impact of ultrasound-guided femoral nerve blocks in the pediatric emergency department[J]. Pediatr Emerg Care, 2014, 30(4): 227-229. DOI:10.1097/PEC.0000000000000101.

KODAMA N, TAKEMURA Y, UEBA H, et al . Ultrasound-assisted closed reduction of distal radius fractures[J ] . J Hand Surg Am, 2014, 39(7): 1287-1294. DOI:10.1016/j.jhsa.2014.02.031.

沈先涛, 陈小亮, 李雄, 等.B型超声引导经皮克氏针撬拨治疗儿童桡骨颈骨折[J].中华小儿外科杂志, 2015, 36(5):363-367.DOI: 10.3760/cma.j.issn.0253-3006.2015.05.011.

SHEN X T, CHEN X L, LI X, et al . Ultrasound guided percutaneous Kirschner-wire leverage and reduction for radial neck fracture in children[J ] . Chin J Pediatr Surg, 2015, 36(5):363-367.DOI: 10.3760/cma.j.issn.0253-3006.2015.05.011.

胡定祥, 林达强, 唐天生, 等.骨折患者术前凝血及纤溶功能对术后血栓栓塞症的风险预测[J].医学研究杂志, 2015, 44(7): 162-164.

HU D X, LIN D Q, TANG T S, et al . Items of blood coagulation and fibrinolysis in preoperative patients with fracture on risk prediction of vein thrombosis[J ] . J Med Res, 2015, 44(7): 162-164.

MESSINA A, FRASSANITO L, COLOMBO D, et al . Hemodynamic changes associated with spinal and general anesthesia for hip fracture surgery in severe ASA Ⅲ elderly population: a pilot trial[J ] . Minerva Anestesiol, 2013, 79(9): 1021-1029.

GARCIA L, JAFF M R, METZGER C, et al . Wire-interwoven nitinol stent outcome in the superficial femoral and proximal popliteal arteries: twelve-month results of the SUPERB trial[J ] . Circ Cardiovasc Interv, 2015, 8(5): e000937. DOI:10.1161/CIRCINTERVENTIONS.113.000937.

CARUSO G, LAGALLA R, DERCHI L, et al . Monitoring of fracture calluses with color Doppler sonography[J ] . J Clin Ultrasound, 2000, 28(1): 20-27. DOI:10.1002/(sici) 1097-0096(200001)28:1 < 20::aid-jcu3 > 3.0.co; 2-w.

BOUTIS K, GROOTENDORST P, WILLAN A, et al . Effect of the low risk ankle rule on the frequency of radiography in children with ankle injuries[J ] . CMAJ, 2013, 185(15): E731-E738. DOI:10.1503/cmaj.122050.

SCHAMBACH S J, BAG S, SCHILLING L, et al .Application of micro-CT in small animal imaging[J ] .Methods (San Diego, Calif.), 2010, 50(1):2-13. DOI:10.1016/j.ymeth.2009.08.007.

尹东, 杨惠林, 唐天驷, 等.双能X线骨密度仪测定骨痂骨密度变化的实验研究[J].中国医学影像学杂志, 2004, 12(6): 430-432.

YIN D, YANG H L, TANG T S, et al . Experimental study on bone mineral density changes of callus during fracture healing[J ] . Chin J Med Imaging, 2004, 12(6): 430-432.

GUO X S, YANG D, ZHANG D, et al . Quantitative evaluation of fracture healing process of long bones using guided ultrasound waves: a computational feasibility study[J ] . J Acoust Soc Am, 2009, 125(5): 2834-2837. DOI:10.1121/1.3106526.

GHEDUZZI S, DODD S P, MILES A W, et al . Numerical and experimental simulation of the effect of long bone fracture healing stages on ultrasound transmission across an idealized fracture[J ] . J Acoust Soc Am, 2009, 126(2): 887-894. DOI:10.1121/1.3158938.

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