{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,6]],"date-time":"2025-10-06T18:46:54Z","timestamp":1759776414935,"version":"3.40.5"},"reference-count":12,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2020,6,25]],"date-time":"2020-06-25T00:00:00Z","timestamp":1593043200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Emerg Medicine Australasia"],"published-print":{"date-parts":[[2020,12]]},"abstract":"Abstract<\/jats:title>Objective<\/jats:title>Distal radial fracture reduction is a common procedure in the ED. Previous studies have suggested that ultrasound (US)\u2010guided reduction improves outcomes for patients who undergo manipulation and reduction of distal radial fractures in the ED. We aimed to investigate this with the first randomised controlled trial looking at US\u2010guided distal radial fracture reduction. Our primary objective was to compare rates of operative intervention between the study groups. Rate of re\u2010manipulation was compared as a secondary outcome.<\/jats:p><\/jats:sec>Methods<\/jats:title>ED patients were prospectively randomised to either standard landmark guided or US\u2010guided closed reduction of distal radial fractures. The closed reductions were performed by senior emergency clinicians and the USs were performed by emergency physicians experienced in point\u2010of\u2010care US. Following reduction patients were managed equally and referred to the local orthopaedic service who were blinded to whether US was used to assist manipulation or not. This service decided on the need for re\u2010manipulation or operative intervention.<\/jats:p><\/jats:sec>Results<\/jats:title>One hundred patients were enrolled and randomised equally into each cohort. We found no statistically significant difference between the control and intervention groups of our study. In the control group, 46% of patients underwent operative fixation, compared to 48% in the US\u2010guided group (P<\/jats:italic> =\u20090.36). Our secondary intervention of re\u2010manipulation in the ED or theatre following the initial reduction showed no statistically significant difference between the groups (P<\/jats:italic> = 1.0).<\/jats:p><\/jats:sec>Conclusion<\/jats:title>US\u2010guided reduction of dorsally displaced, distal radius fractures in the ED setting, did not improve measured clinical outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1742-6723.13554","type":"journal-article","created":{"date-parts":[[2020,6,25]],"date-time":"2020-06-25T10:56:04Z","timestamp":1593082564000},"page":"1015-1020","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Bedside ultrasound in the emergency department for reduction and radial manipulation of distal radial fractures"],"prefix":"10.1111","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0697-778X","authenticated-orcid":false,"given":"John P","family":"Smiles","sequence":"first","affiliation":[{"name":"Emergency Medicine John Hunter Hospital Newcastle New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marcus","family":"Simonian","sequence":"additional","affiliation":[{"name":"Orthopaedics Mater Hospital Brisbane Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Zhang","sequence":"additional","affiliation":[{"name":"Emergency Medicine John Hunter Hospital Newcastle New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shane","family":"Digby","sequence":"additional","affiliation":[{"name":"Emergency Medicine John Hunter Hospital Newcastle New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sam","family":"Vidler","sequence":"additional","affiliation":[{"name":"Emergency Department Maitland Hospital Maitland New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Scott","family":"Flannagan","sequence":"additional","affiliation":[{"name":"Emergency Department Maitland Hospital Maitland New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,6,25]]},"reference":[{"doi-asserted-by":"publisher","key":"e_1_2_9_2_1","DOI":"10.1016\/j.hcl.2012.02.001"},{"key":"e_1_2_9_3_1","doi-asserted-by":"crossref","first-page":"369","DOI":"10.1542\/peds.141.1MA4.369","article-title":"Ultrasound\u2010 and fluoroscopy\u2010guided reduction of pediatric forearm fractures: a prospective observational study","volume":"141","author":"Auten J","year":"2018","journal-title":"Pediatrics"},{"doi-asserted-by":"publisher","key":"e_1_2_9_4_1","DOI":"10.1097\/PEC.0b013e318128f85d"},{"doi-asserted-by":"publisher","key":"e_1_2_9_5_1","DOI":"10.1016\/j.annemergmed.2014.08.043"},{"doi-asserted-by":"publisher","key":"e_1_2_9_6_1","DOI":"10.2106\/00004623-200202000-00005"},{"doi-asserted-by":"publisher","key":"e_1_2_9_7_1","DOI":"10.1016\/j.ajem.2009.05.022"},{"key":"e_1_2_9_8_1","first-page":"132","article-title":"Ultrasound\u2010guided reduction of distal radius fractures","volume":"4","author":"Sabzghabaei A","year":"2016","journal-title":"Emergency"},{"doi-asserted-by":"publisher","key":"e_1_2_9_9_1","DOI":"10.1016\/j.jemermed.2009.09.018"},{"doi-asserted-by":"publisher","key":"e_1_2_9_10_1","DOI":"10.1097\/PRS.0000000000005088"},{"doi-asserted-by":"publisher","key":"e_1_2_9_11_1","DOI":"10.1016\/j.jhsa.2015.12.008"},{"doi-asserted-by":"publisher","key":"e_1_2_9_12_1","DOI":"10.1007\/s00423-015-1324-9"},{"key":"e_1_2_9_13_1","first-page":"17023","article-title":"Comparison of conservative and operative treatment for distal radius fracture: a meta\u2010analysis of randomized controlled trials","volume":"8","author":"Song J","year":"2015","journal-title":"Int. J. Clin. Exp. Med."}],"container-title":["Emergency Medicine Australasia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2F1742-6723.13554","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1742-6723.13554","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/1742-6723.13554","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1742-6723.13554","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,5]],"date-time":"2023-09-05T03:06:39Z","timestamp":1693883199000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/1742-6723.13554"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,6,25]]},"references-count":12,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2020,12]]}},"alternative-id":["10.1111\/1742-6723.13554"],"URL":"https:\/\/doi.org\/10.1111\/1742-6723.13554","archive":["Portico"],"relation":{},"ISSN":["1742-6731","1742-6723"],"issn-type":[{"type":"print","value":"1742-6731"},{"type":"electronic","value":"1742-6723"}],"subject":[],"published":{"date-parts":[[2020,6,25]]},"assertion":[{"value":"2019-11-12","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-05-14","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-06-25","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}