AI Article Synopsis
- Clavicle fractures are the most common birth injury in newborns, and a systematic review was conducted to assess the effectiveness of ultrasound (US) for diagnosing these injuries.* -
- Out of 231 initial studies, 7 were selected, examining 136 neonates; ultrasound accurately diagnosed all 135 confirmed fractures, while X-ray identified 95.7% of the fractures in a subset of patients.* -
- The findings suggest that ultrasound is highly reliable for diagnosing clavicle fractures in newborns and should be regarded as the preferred method for this purpose.*
Article Abstract
Background: Fractures of the clavicle are the most common birth injury among newborns. Aim of this systematic review was to provide a comprehensive analysis of the role of ultrasound (US) in diagnosing clavicular fractures in neonates.
Methods: A systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) using PubMed and Embase, including studies focusing on US in neonatal clavicle fracture. Age at US, number of cases examined by US and X-ray, US and X-ray diagnoses, US probe used, fracture site were systematically extracted.
Results: A total of 231 articles were found. We ultimately selected 7 publications that satisfied the inclusion criteria, involving 136 patients examined between 3 days and 3 weeks of age, with 135 confirmed fractures. US was performed on all patients and correctly diagnosed all fractures (135/135, 100%). X-ray was performed on 94/136 patients (69.1%) and correctly diagnosed 89/93 fractures (95.7%). Fracture site was: medial in 2/79, middle in 37/79, and lateral in 40/79. In the remaining 57 cases, site was not reported.
Conclusions: This review indicates that ultrasound is extremely reliable in diagnosing clavicle fractures in newborns and should be considered as the gold standard in this context.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11430313 | PMC |
| http://dx.doi.org/10.3390/children11091080 | DOI Listing |
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