Ultrasound-guided vs. fluoroscopy-guided percutaneous leverage reduction for severely displaced radial neck fractures in children: a comparative analysis of clinical and radiological outcomes
Abstract Background Ultrasound (US) is a promising alternative to fluoroscopy (FL) for guiding percutaneous leverage reduction of displaced radial neck fractures in children. However, few studies have compared these modalities. This study aims to compare both the accuracy and efficacy of FL-guided v...
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BMC
2025-02-01
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| Series: | BMC Musculoskeletal Disorders |
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| Online Access: | https://doi.org/10.1186/s12891-025-08312-9 |
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| author | Xing Wu Jingdong Xia Xiongtao Li Xiaoliang Chen Si Wang Xiantao Shen |
| author_facet | Xing Wu Jingdong Xia Xiongtao Li Xiaoliang Chen Si Wang Xiantao Shen |
| author_sort | Xing Wu |
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| description | Abstract Background Ultrasound (US) is a promising alternative to fluoroscopy (FL) for guiding percutaneous leverage reduction of displaced radial neck fractures in children. However, few studies have compared these modalities. This study aims to compare both the accuracy and efficacy of FL-guided versus US-guided percutaneous pinning in the treatment of radial neck fracture. Methods Seventy-three children with displaced radial neck fractures were consecutively enrolled and assigned to the US or FL group. In all the patients, fractures were reduced with the percutaneous pin leverage technique. The patients were divided into two groups: the FL-guided group and the US-guided group. Baseline information, radiographs, and clinical results according to the criteria suggested by Metaizeau and complications were analyzed. Final Metaizeau criteria were categorized into excellent, good, fair, and poor. Results The success rates for closed reduction were 100% for the US group and 91.2% for the FL group. The US group exhibited a significantly shorter operation time compared to the FL group (24.77 ± 8.00 min vs. 42.21 ± 15.18 min; P < 0.01). Additionally, the US group had a significantly lower number of FL images and radiation dose (3.59 ± 1.57 times, 9.56 ± 6.08 mGy) than the FL group (22.26 ± 8.07 times, 69.68 ± 34.70 mGy; P < 0.001). Reduction quality did not significantly differ between the groups according to the Metaizeau reduction classification (P = 0.130). According to the Metaizeau classification criteria, there was no significant difference between the two groups, including post-operative complications. Conclusion Ultrasound-guided techniques offer a viable alternative for the treatment of displaced radial neck fractures in paediatric patients by minimising radiation exposure, expediting operative time and facilitating reduction. Level of evidence Therapeutic Level III. |
| format | Article |
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| institution | Kabale University |
| issn | 1471-2474 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | BMC |
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| series | BMC Musculoskeletal Disorders |
| spelling | doaj-art-9db4bf75ec4b4506b1a7f7f996e4373d2025-02-02T12:05:31ZengBMCBMC Musculoskeletal Disorders1471-24742025-02-012611810.1186/s12891-025-08312-9Ultrasound-guided vs. fluoroscopy-guided percutaneous leverage reduction for severely displaced radial neck fractures in children: a comparative analysis of clinical and radiological outcomesXing Wu0Jingdong Xia1Xiongtao Li2Xiaoliang Chen3Si Wang4Xiantao Shen5Department of Pediatric Orthopedic Surgery, Wuhan Children’s Hospital (Wuhan Maternal and Child Healthcare Hospital), Tongji Medical College, Huazhong University of Science & TechnologyDepartment of Pediatric Orthopedic Surgery, Wuhan Children’s Hospital (Wuhan Maternal and Child Healthcare Hospital), Tongji Medical College, Huazhong University of Science & TechnologyDepartment of Pediatric Orthopedic Surgery, Wuhan Children’s Hospital (Wuhan Maternal and Child Healthcare Hospital), Tongji Medical College, Huazhong University of Science & TechnologyDepartment of Pediatric Orthopedic Surgery, Wuhan Children’s Hospital (Wuhan Maternal and Child Healthcare Hospital), Tongji Medical College, Huazhong University of Science & TechnologyDepartment of Pediatric Orthopedic Surgery, Wuhan Children’s Hospital (Wuhan Maternal and Child Healthcare Hospital), Tongji Medical College, Huazhong University of Science & TechnologyDepartment of Pediatric Orthopedic Surgery, Wuhan Children’s Hospital (Wuhan Maternal and Child Healthcare Hospital), Tongji Medical College, Huazhong University of Science & TechnologyAbstract Background Ultrasound (US) is a promising alternative to fluoroscopy (FL) for guiding percutaneous leverage reduction of displaced radial neck fractures in children. However, few studies have compared these modalities. This study aims to compare both the accuracy and efficacy of FL-guided versus US-guided percutaneous pinning in the treatment of radial neck fracture. Methods Seventy-three children with displaced radial neck fractures were consecutively enrolled and assigned to the US or FL group. In all the patients, fractures were reduced with the percutaneous pin leverage technique. The patients were divided into two groups: the FL-guided group and the US-guided group. Baseline information, radiographs, and clinical results according to the criteria suggested by Metaizeau and complications were analyzed. Final Metaizeau criteria were categorized into excellent, good, fair, and poor. Results The success rates for closed reduction were 100% for the US group and 91.2% for the FL group. The US group exhibited a significantly shorter operation time compared to the FL group (24.77 ± 8.00 min vs. 42.21 ± 15.18 min; P < 0.01). Additionally, the US group had a significantly lower number of FL images and radiation dose (3.59 ± 1.57 times, 9.56 ± 6.08 mGy) than the FL group (22.26 ± 8.07 times, 69.68 ± 34.70 mGy; P < 0.001). Reduction quality did not significantly differ between the groups according to the Metaizeau reduction classification (P = 0.130). According to the Metaizeau classification criteria, there was no significant difference between the two groups, including post-operative complications. Conclusion Ultrasound-guided techniques offer a viable alternative for the treatment of displaced radial neck fractures in paediatric patients by minimising radiation exposure, expediting operative time and facilitating reduction. Level of evidence Therapeutic Level III.https://doi.org/10.1186/s12891-025-08312-9Radial neck fractureUltrasoundPercutaneous leverage reductionChildren |
| spellingShingle | Xing Wu Jingdong Xia Xiongtao Li Xiaoliang Chen Si Wang Xiantao Shen Ultrasound-guided vs. fluoroscopy-guided percutaneous leverage reduction for severely displaced radial neck fractures in children: a comparative analysis of clinical and radiological outcomes BMC Musculoskeletal Disorders Radial neck fracture Ultrasound Percutaneous leverage reduction Children |
| title | Ultrasound-guided vs. fluoroscopy-guided percutaneous leverage reduction for severely displaced radial neck fractures in children: a comparative analysis of clinical and radiological outcomes |
| title_full | Ultrasound-guided vs. fluoroscopy-guided percutaneous leverage reduction for severely displaced radial neck fractures in children: a comparative analysis of clinical and radiological outcomes |
| title_fullStr | Ultrasound-guided vs. fluoroscopy-guided percutaneous leverage reduction for severely displaced radial neck fractures in children: a comparative analysis of clinical and radiological outcomes |
| title_full_unstemmed | Ultrasound-guided vs. fluoroscopy-guided percutaneous leverage reduction for severely displaced radial neck fractures in children: a comparative analysis of clinical and radiological outcomes |
| title_short | Ultrasound-guided vs. fluoroscopy-guided percutaneous leverage reduction for severely displaced radial neck fractures in children: a comparative analysis of clinical and radiological outcomes |
| title_sort | ultrasound guided vs fluoroscopy guided percutaneous leverage reduction for severely displaced radial neck fractures in children a comparative analysis of clinical and radiological outcomes |
| topic | Radial neck fracture Ultrasound Percutaneous leverage reduction Children |
| url | https://doi.org/10.1186/s12891-025-08312-9 |
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