Fracture Ultrasound of the Extremities

Overview	The authors review the actual evidence for the diagnostics of bone fractures, especially in children up to 12 years. For the distal forearm fractures, the US is the modality of choice as a first imaging method in this group of patients. Further applications are screening of elbow fractures, fractures of the proximal humerus, clavicula as well as AC joint injuries. A protocol by suspicion of an abused child is also mentioned.
Authors	Ole Ackermann et. al
Journal	Ultraschall in der Medizin – European Journal of Ultrasound 2020; 41(01): 12 – 28
Recommendation/Comment	There are algorithms for each clinical scenario implementing the US maintaining good diagnostic accuracy, reducing the radiation and expediting the clinical management of the patient.
Clinical implication	We should not send every patient to the X-ray department to exclude a fracture.
Link (DOI)	https://doi.org/10.1055/a-1023-1782
Ultrasound speciality	Musculoskeletal sonography – orthopaedics and traumatology, Pediatric and neonatal sonography, Emergency ultrasound