Rapid screening for the posterior fat pad sign in suspected pediatric elbow fractures using point-of-care ultrasound: A "FAST exam" for the traumatized elbow

Critical Ultrasound Journal

Volumn 1, Issue 3, 2010, Pages 111-116

  Tsung, J W ^a   Blaivas, Michael ^b  

^a NEW YORK UNIVERSITY   (United States)

^b NORTHSIDE HOSPITAL   (United States)

Author keywords

Diagnosis; Elbow fracture; Pediatric; Posterior fat pad; Ultrasound

Indexed keywords

EID: 77955710353     PISSN: 20363176     EISSN: 20367902     Source Type: Journal    
DOI: 10.1007/s13089-010-0021-8     Document Type: Article

References (17)

1. American College of Emergency Physicians Policy Statement (2009) Emergency ultrasound guidelines. Ann Emerg Med 53(4): 550-570.
2. Chen L, Baker MD (2007) Novel applications of ultrasound in pediatric emergency medicine. Pediatr Emerg Care 23(2): 115-123.
3. Levy JA, Noble VE (2008) Bedside ultrasound for pediatric emergency medicine. Pediatrics 121(5): e1404-e1412.
4. Goswami GK (2002) The fat pad sign. Radiology 222(2): 419-420.
5. Major NM, Crawford ST (2002) Elbow effusions in trauma in adults and children: is there an occult fracture? Am J Roentgenol 178(2): 413-418.
6. Skaggs DL, Mirzayan R (1999) The posterior fat pad sign in association with occult fracture of the elbow in children. J Bone Joint Surg Am 81: 1429-1433.
7. O'Dwyer H, O'Sullivan P, Fitzgerald D et al (2004) The fat pad sign following elbow trauma in adults: its usefulness and reliability in suspecting occult fracture. J Comput Assist Tomogr 28(4): 562-565.
8. Miles KA, Lamont AC (1989) Ultrasonic demonstration of the elbow fat pads. Clin Radiol 40: 602-604.
9. Zuazo I, Bonnefoy O, Tauzin C et al (2008) Acute elbow trauma in children: role of ultrasonography. Pediatr Radiol 38(9): 982-988.
10. Dulchavsky et al (2002) Advanced ultrasonic diagnosis of extremity trauma: the FASTER examination. J Trauma 53: 28-32.
11. Marshburn et al (2004) Goal-directed ultrasound in the detection of long-bone fractures. J Trauma 57: 329-332.
12. Hubner et al (2000) Ultrasound in the diagnosis of fractures in children. J Bone Joint Surg 82(8): 1170-1173.
13. Chen L, Kim Y, Moore CL (2007) Diagnosis and guided reduction of forearm fractures in children using bedside ultrasound. Pediatr Emerg Care 23(8): 528-531.
14. Patel DD, Blumberg S, Crain EF (2009) The utility of bedside ultrasonography in identifying fractures and guiding fracture reduction in children. Pediatr Emerg Care 25: 221-225.
15. Weinberg ER, Tsung JW, Tunik MG (2008) Accuracy of pointof-care ultrasound for the diagnosis of fractures in the pediatric emergency department. Acad Emerg Med 15(5): S45.
16. John SD, Wherry K, Swishuk LE et al (1996) Improving detection of pediatric elbow fractures by understanding their mechanics. Radiographics 16(6): 1443-1460.
17. Kim MC, Eckhardt BP, Craig C (2004) Ultrasonography of the annular ligament partial tear and recurrent "pulled elbow". Pediatr Radiol 34(12): 999-1004.