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Distal forearm fractures can be reliably diagnosed using ultrasound
  1. Amanda J Friend1,
  2. Damian Roland2
  1. 1Department of Paediatrics, Leeds General Infirmary, Leeds, UK
  2. 2Children's Emergency Department, University Hospitals of Leicester NHS Trust, Leicester, UK

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Study question

In patients with possible distal forearm fracture, is ultrasound scanning a reliable method of diagnosis when compared with X-ray?

Study design

Design: Systematic review and meta-analysis.

Data source: Medline, Web of Science, the Cochrane Library.

Study inclusion criteria: Comparison of ultrasound and X-ray in patients with potential distal forearm fractures; written in English, French, German or Spanish language.

Main results

A total of 16 studies involving 1204 patients with 641 fractures were included. Twelve studies involving 951 patients looked specifically at children. Included studies all used X-ray as their ‘gold standard’ for diagnosing fractures and compared ultrasound to this. Most studies …

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