{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T06:07:00Z","timestamp":1791871620318,"version":"4.3.4"},"reference-count":43,"publisher":"Georg Thieme Verlag KG","issue":"09","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rofo"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:p>Background\u2002Clinical examination after trauma, especially in young children, often proves difficult. As a result, the majority of images show unremarkable findings in the imaging workup of trauma by radiography. Sonography represents an imaging technique without the use of X-rays. As the quality of ultrasound equipment has increased over the past 20 years, numerous studies have demonstrated that fractures in children and adolescents can be detected with very high sensitivity and specificity by sonography.<\/jats:p><jats:p>Method\u2002This paper reviews the results obtained so far in the literature. Based on these findings, the importance of sonographic fracture diagnosis in childhood and adolescence for the most important locations is demonstrated.<\/jats:p><jats:p>Results\u2002When examining with a high-frequency linear transducer, sensitivities and specificities of more than 90\u200a% can be achieved for the detection of fractures. Dislocations are also reliably detected. In contrast to X-ray examination, sonography allows the diagnosis of cartilage and soft-tissue injuries. Sonography reveals callus formation earlier than radiographs. The examination causes less pain than X-ray examination. If sonographic clarification is limited purely to fracture detection or exclusion, less time is required compared to X-ray diagnosis. The procedure can be learned quickly. If the documentation follows a defined standard examination procedure, the results can also be reproduced by non-examiners.<\/jats:p><jats:p>Conclusion\u2002So far, sonography has only been an additive procedure in fracture diagnosis. However, there are now initial recommendations for sonographic fracture diagnosis alone, such as in skull, clavicle and non-displaced distal forearm fractures.<\/jats:p><jats:p>Key Points:<\/jats:p><jats:p>Zitierweise<\/jats:p>","DOI":"10.1055\/a-2042-2161","type":"journal-article","created":{"date-parts":[[2023,4,26]],"date-time":"2023-04-26T23:07:38Z","timestamp":1682550458000},"page":"790-796","source":"Crossref","is-referenced-by-count":17,"title":["Sonographic Fracture Diagnosis in Children and Adolescents"],"prefix":"10.1055","volume":"195","author":[{"given":"J\u00f6rg Detlev","family":"Moritz","sequence":"additional","affiliation":[{"name":"Radiology and Neuroradiology, Pediatric Radiology, UK-SH, Campus Kiel, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2023,4,26]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"267","DOI":"10.1055\/s-2008-1027329","article-title":"Ultrasound in diagnosis of fractures in children: Unnecessary harassment or useful addition to X-ray?","volume":"29","author":"J D Moritz","year":"2008","journal-title":"Ultraschall in Med"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1016\/j.clinimag.2011.08.013","article-title":"Sonographic evaluation of bone fractures: a reliable alternative in clinical practice?","volume":"36","author":"V Beltrame","year":"2012","journal-title":"Clinical Imaging"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"1154","DOI":"10.1097\/PEC.0b013e3182716fb7","article-title":"Emergency ultrasound in the detection of pediatric long-bone fractures","volume":"28","author":"I Barata","year":"2012","journal-title":"Pediatr Emerg Care"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1017\/cem.2016.397","article-title":"Use of point-of-care ultrasound in long bone fractures: a systematic review and meta-analysis","volume":"19","author":"L B Chartier","year":"2017","journal-title":"CJEM"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"221","DOI":"10.1097\/PEC.0b013e31819e34f7","article-title":"The utility of bedside ultrasonography in identifying fractures and guiding reduction in children","volume":"25","author":"D D Patel","year":"2009","journal-title":"Padiatr Emerg Care"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"706","DOI":"10.1055\/s-0029-1245371","article-title":"Ist die Sonografie der R\u00f6ntgendiagnostik in der p\u00e4diatrischen Frakturdiagnostik gleichwertig?","volume":"182","author":"J D Moritz","year":"2010","journal-title":"Fortschr R\u00f6ntgenstr"},{"issue":"01","key":"ref7","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1136\/emermed-2020-209887","article-title":"Evidence base for point-of-care ultrasound (POCUS) for diagnosis of skull fractures in children: a systematic review and meta-analysis","volume":"39","author":"G Alexandridis","year":"2022","journal-title":"Emerg Med J"},{"issue":"12","key":"ref8","doi-asserted-by":"crossref","first-page":"e1701","DOI":"10.1097\/PEC.0000000000001958","article-title":"The utility of ultrasound in detecting skull fractures after pediatric blunt head trauma. 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