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Fraktursonographie der Extremitäten

Fracture sonography of the extremities

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Zusammenfassung

Im vorliegenden Text werden die Grundlagen der Fraktursonographie sowie sinnvolle Anwendungsgebiete im Kindes- und Erwachsenenalter erläutert. Die sonographischen Frakturzeichen werden dargestellt. Die typischen Anwendungsgebiete (Claviculafraktur, Akromioklavikulargelenk[AC]-Sprengung, proximale Humerusfraktur, Ellenbogenfraktur, Handgelenkfraktur, Mittelhandknochen-5[MHK-5]-Fraktur, Fibrocartilago palmaris, Femurwulstfraktur, proximale Tibiafraktur, Mittelfußknochen-V[MFK-V]-Fraktur, „toddler’s fracture“, Marschfraktur) werden behandelt und bekannte Diagnostikalgorithmen aufgeführt. Bei korrekter Anwendung ist die Fraktursonographie eine sichere, schonende und schnelle Diagnostikmethode.

Abstract

In this article the basic principles of fracture sonography and meaningful areas of application in children and adults are explained. The sonographic fracture signs are presented and the typical areas of application, i.e. clavicular fracture, acromioclavicular (AC) joint dislocation, proximal humerus fracture, elbow fracture, wrist fracture, metacarpal 5 fracture, palmar plate, femoral bulge fracture, proximal tibia fracture, midfoot V fracture, toddler’s fracture and march fracture, are outlined and known diagnostic algorithms are listed. When used correctly, fracture sonography is a safe, gentle and rapid diagnostic method.

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  1. Orthopädie Ackermann, Raiffeisenstr. 58–60, 47259, Duisburg, Deutschland

    Ole Ackermann

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Alle beschriebenen Untersuchungen am Menschen oder an menschlichem Gewebe wurden mit Zustimmung der zuständigen Ethikkommission, im Einklang mit nationalem Recht sowie gemäß der Deklaration von Helsinki von 1975 (in der aktuellen, überarbeiteten Fassung) durchgeführt. Von allen beteiligten Patienten liegt eine Einverständniserklärung vor. Für Bildmaterial oder anderweitige Angaben innerhalb des Manuskripts, über die Patienten zu identifizieren sind, liegt von ihnen und/oder ihren gesetzlichen Vertretern eine schriftliche Einwilligung vor.

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Ackermann, O. Fraktursonographie der Extremitäten. Unfallchirurg 125, 97–106 (2022). https://doi.org/10.1007/s00113-021-01118-z

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