{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T18:16:06Z","timestamp":1780337766160,"version":"3.54.1"},"reference-count":35,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2017,4,27]],"date-time":"2017-04-27T00:00:00Z","timestamp":1493251200000},"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":["Academic Emergency Medicine"],"published-print":{"date-parts":[[2017,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>Distal forearm fractures are the most common fracture type in children. Point\u2010of\u2010care\u2010ultrasound (<jats:styled-content style=\"fixed-case\">POCUS<\/jats:styled-content>) is increasingly being used, and preliminary studies suggest that it offers an accurate approach to diagnosis. However, outcomes such as pain, satisfaction, and procedure duration have not been explored but may be salient to the widespread acceptance of this technology by caregivers and children. Our objectives were to examine the test performance characteristics of <jats:styled-content style=\"fixed-case\">POCUS<\/jats:styled-content> for nonangulated distal forearm injuries in children and compare <jats:styled-content style=\"fixed-case\">POCUS<\/jats:styled-content> to x\u2010ray with respect to pain, caregiver satisfaction, and procedure duration.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted a cross\u2010sectional study involving children aged 4\u201317 years with a suspected nonangulated distal forearm fracture. Participants underwent both x\u2010ray and <jats:styled-content style=\"fixed-case\">POCUS<\/jats:styled-content> assessment. The primary outcome was sensitivity between <jats:styled-content style=\"fixed-case\">POCUS<\/jats:styled-content> and x\u2010ray, the reference standard. Secondary outcomes included self\u2010reported pain using the Faces Pain Scale\u2013Revised, caregiver satisfaction using a five\u2010item Likert scale, and procedure duration.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p><jats:styled-content style=\"fixed-case\">POCUS<\/jats:styled-content> was performed in 169 children of whom 76 were diagnosed with a fracture including 61 buckle fractures. Sensitivity of <jats:styled-content style=\"fixed-case\">POCUS<\/jats:styled-content> for distal forearm fractures was 94.7% (95% confidence interval [<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>] = 89.7\u201399.8) and specificity was 93.5% (95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> = 88.6\u201398.5). <jats:styled-content style=\"fixed-case\">POCUS<\/jats:styled-content> was associated with a significantly lower median (interquartile range [<jats:styled-content style=\"fixed-case\">IQR<\/jats:styled-content>]) pain score compared to x\u2010ray: 1 (0\u20132) versus 2 (1\u20133), respectively (median difference = 0.5; 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> = 0.5\u20131; p &lt; 0.001) and no significant difference in median (<jats:styled-content style=\"fixed-case\">IQR<\/jats:styled-content>) caregiver satisfaction score: 5 (0) versus 5 (4\u20135), respectively (median difference = 0, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> = 0, p = 1.0). <jats:styled-content style=\"fixed-case\">POCUS<\/jats:styled-content> was associated with a significantly lower median (<jats:styled-content style=\"fixed-case\">IQR<\/jats:styled-content>) procedure duration versus x\u2010ray: 1.5 (0.8\u20132.2) minutes versus 27 (15\u201358) minutes, respectively (median difference = 34.1, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> = 26.8\u201341.5, p &lt; 0.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Our findings suggest that <jats:styled-content style=\"fixed-case\">POCUS<\/jats:styled-content> assessment of distal forearm injuries in children is accurate, timely, and associated with low levels of pain and high caregiver satisfaction.<\/jats:p><\/jats:sec>","DOI":"10.1111\/acem.13146","type":"journal-article","created":{"date-parts":[[2016,12,17]],"date-time":"2016-12-17T05:07:32Z","timestamp":1481951252000},"page":"607-616","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":42,"title":["Point\u2010of\u2010care Ultrasound for Nonangulated Distal Forearm Fractures in Children: Test Performance Characteristics and Patient\u2010centered Outcomes"],"prefix":"10.1111","volume":"24","author":[{"given":"Naveen","family":"Poonai","sequence":"first","affiliation":[{"name":"Department of Pediatrics Western University London Ontario"},{"name":"Division of Emergency Medicine Western University London Ontario"},{"name":"Children's Health Research Institute London Health Sciences Centre London Ontario"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frank","family":"Myslik","sequence":"additional","affiliation":[{"name":"Division of Emergency 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