{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,25]],"date-time":"2026-07-25T17:16:47Z","timestamp":1784999807354,"version":"3.55.0"},"reference-count":16,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":["Pediatr Emer Care"],"published-print":{"date-parts":[[2022,2]]},"abstract":"<jats:sec>\n            <jats:title>Introduction<\/jats:title>\n            <jats:p>Fracture reduction under point-of-care ultrasound (POCUS) guidance facilitates measurement of residual angulation or displacement that may not be apparent on examination. Point-of-care ultrasound is without patient or staff exposure to ionizing radiation and enlists no additional staffing resources or patient transfer.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>We conducted a chart review of all children who underwent reduction of a distal forearm fracture in the pediatric emergency department over a 2-year period, from September 2018 to September 2020. We compared length of stay (LOS) with that for orthopedist-performed distal forearm reductions during the study period. We allowed a 6-week lag period to ensure no missed rereduction before analyzing the data. After reduction, children were instructed to follow up with an orthopedist within 1 week. Children with loss of reduction on orthopedic follow-up are referred back through our emergency department for operative reduction.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>A total of 74 children with 75 distal forearm fractures were identified. Average LOS was 179 minutes for the pediatric emergency medicine physician reductions and 215 minutes for the orthopedist reductions (<jats:italic toggle=\"yes\">P<\/jats:italic> &lt; 0.001). Ninety-six percent of reductions were completed with POCUS assistance, and 61% had less than 5 degrees of angulation on postreduction radiography. Only 2.7% of children underwent rereduction.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p>Distal forearm fracture reductions by a pediatric emergency medicine physician under POCUS guidance have a high rate of excellent alignment, low rate of failed reduction, and significantly shorter LOS (<jats:italic toggle=\"yes\">P<\/jats:italic> &lt; 0.001) than reductions performed by orthopedists.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/pec.0000000000002464","type":"journal-article","created":{"date-parts":[[2021,6,18]],"date-time":"2021-06-18T01:00:09Z","timestamp":1623978009000},"page":"e756-e760","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":11,"title":["Ultrasound-Guided Distal Forearm Fracture Reduction by Pediatric Emergency Physicians"],"prefix":"10.1097","volume":"38","author":[{"given":"Eric","family":"Scheier","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Uri","family":"Balla","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2021,6,17]]},"reference":[{"key":"bib1-20250504","doi-asserted-by":"crossref","first-page":"913","DOI":"10.1016\/j.injury.2007.01.036","article-title":"The epidemiology of fractures in children","volume":"38","year":"2007","journal-title":"Injury"},{"key":"bib2-20250504","doi-asserted-by":"crossref","first-page":"1002","DOI":"10.1016\/j.ajem.2009.05.022","article-title":"Ultrasound-guided reduction of distal radius fractures","volume":"28","year":"2010","journal-title":"Am J Emerg Med"},{"key":"bib3-20250504","doi-asserted-by":"crossref","first-page":"654","DOI":"10.1097\/PEC.0000000000001254","article-title":"Ultrasound-assisted 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reduction","volume":"8","year":"2016","journal-title":"Cureus"},{"key":"bib14-20250504","doi-asserted-by":"crossref","first-page":"832","DOI":"10.1016\/j.ajem.2018.07.050","article-title":"Comparison of pediatric post-reduction fluoroscopic- and ultrasound forearm fracture images","volume":"37","year":"2019","journal-title":"Am J Emerg Med"},{"key":"bib15-20250504","doi-asserted-by":"crossref","first-page":"260","DOI":"10.1016\/j.annemergmed.2014.08.043","article-title":"Accuracy of ultrasonography for determining successful realignment of pediatric forearm fractures","volume":"65","year":"2015","journal-title":"Ann Emerg Med"},{"key":"bib16-20250504","doi-asserted-by":"crossref","first-page":"862","DOI":"10.1016\/j.injury.2010.04.020","article-title":"Accuracy of clinician-performed point-of-care ultrasound for the diagnosis of fractures in children and young adults","volume":"41","year":"2010","journal-title":"Injury"}],"container-title":["Pediatric Emergency 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