Ultrasonography in the assessment of hand injuries in children: A systematic review

Abstract

Despite the frequency of paediatric hand injuries, recommendations for diagnostic investigations are limited due to paucity of published guidelines. This has led to inappropriate diagnoses and therefore inappropriate management. Ultrasonography is a portable, non-ionising imaging modality that allows rapid real-time evaluation of anatomical structures at a low cost and without sedation. In the adult population, ultrasonography has already been shown to improve accuracy in hand injury diagnoses. However, in the paediatric population, only one narrative review focuses on the application of ultrasonography to diagnose hand injury. A systematic search using PubMed, Google Scholar, EMBASE, Scopus, Cochrane database of systematic reviews and University Library of York, Keele, Edinburgh and King's College London was conducted to assess literature surrounding use of ultrasonography as a diagnostic tool for paediatric hand injuries. The literature search yielded 11,860 articles and 21 studies were identified with a total of 30 patients. Ultrasonography was observed to be an accurate tool for diagnosing bone, tendon, ligament and nerve injuries in children. The results of our study suggest that ultrasonography should be considered as an early diagnostic step for paediatric hand injuries.

Publication DOI: https://doi.org/10.1016/j.anplas.2023.02.004
Divisions: College of Health & Life Sciences > Aston Medical School
College of Engineering & Physical Sciences > Engineering for Health
Additional Information: Copyright © 2023. This manuscript version is made available under the CC-BY-NC-ND 4.0 license https://creativecommons.org/licenses/by-nc-nd/4.0/. Version of record can be found here: https://doi.org/10.1016/j.anplas.2023.02.004
Uncontrolled Keywords: Children,Hand trauma,Paediatric,Ultrasonography,Surgery
Publication ISSN: 0294-1260
Last Modified: 23 May 2024 07:21
Date Deposited: 28 Mar 2023 10:41
Full Text Link:
Related URLs: https://www.sci ... 0092?via%3Dihub (Publisher URL)
PURE Output Type: Review article
Published Date: 2023-06
Published Online Date: 2023-03-24
Accepted Date: 2023-02-16
Authors: Ma, Y.
Taylor, L.
Swift, C.
Mitchell, S.
Thyagarajan, M.
Jester, A.
Al-Ani, S. (ORCID Profile 0000-0003-4387-3701)

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