{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:45:52Z","timestamp":1787755552193,"version":"build-2784847793"},"reference-count":26,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"9","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Journal of Bone and Joint Surgery"],"published-print":{"date-parts":[[2019,5,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Musculoskeletal ultrasonography is a tool that is being used increasingly. However, the interpretation of ultrasound images of fractures is not incorporated into orthopaedic training programs. This paper presents the results of an initiative to train orthopaedic surgery residents to accurately interpret images of distal radial fractures in adults and to assess their confidence levels and attitudes regarding their future use of ultrasonography.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Six junior residents were given a pretest with 100 distal radial images that had been made with a pocket-sized ultrasound device; they were asked to determine fracture versus nonfracture cases (50 cases) as well as reduced fracture versus nonreduced fracture cases (50 cases). Following the pretest, residents completed a 30-minute tutorial (didactic and practical) on distal radial ultrasonography. The residents then completed a period of self-practice during 2 separate trauma rotations (a total of 14 to 16 weeks in a single academic year). Following completion of their second trauma rotation, the residents completed a posttest. Comfort level using a pocket-sized ultrasound device also was assessed during pretesting and posttesting.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The median number of days from the pretest to the posttest was 212 days (range, 175 to 225 days). Residents demonstrated an overall improvement in positive predictive value (PPV) of identifying a fracture from the pretest (86.0%; range, 77.5% to 93.1%) to the posttest (93.5%; range, 91.4% to 94.2%). The overall negative predictive value (NPV) for identifying a fracture also improved from the pretest (69.4%; range, 60.0% to 76.9%) to the posttest (81.0%; range, 76.4% to 86.7%; p = 0.04). The overall PPV for detecting a reduced fracture improved from 67.1% with the pretest (range, 54.2% to 82.4%) to 88.9% with the posttest (range, 83.3% to 94.1%; p = 0.04). The comfort level with using the ultrasound device also increased between pretesting and posttesting, and the residents felt that ultrasonography would be useful in the care of distal radial fractures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>After a focused training session and a period of self-practice, orthopaedic residents improved their interpretation of ultrasound images and their comfort level using pocket-sized ultrasound devices with adult patients with distal radial fractures. Residents felt that a pocket-sized ultrasound device was useful for fracture diagnosis and evaluation of reduction.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.17.01098","type":"journal-article","created":{"date-parts":[[2019,5,2]],"date-time":"2019-05-02T07:33:00Z","timestamp":1556782380000},"page":"e38","source":"Crossref","is-referenced-by-count":3,"title":["Orthopaedic Residents\u2019 Interpretation of Point-of-Care Assessment of Distal Radial Fractures with Use of Pocket-Sized Ultrasound Devices"],"prefix":"10.2106","volume":"101","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8487-0617","authenticated-orcid":false,"given":"Brian C.","family":"Lau","sequence":"first","affiliation":[{"name":"Departments of Orthopaedic Surgery (B.C.L. and N.L.) and Radiology and Biomedical Imaging (D.M.), University of California San Francisco Medical Center, San Francisco, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7861-0883","authenticated-orcid":false,"given":"Daria","family":"Motamedi","sequence":"additional","affiliation":[{"name":"Departments of Orthopaedic Surgery (B.C.L. and N.L.) and Radiology and Biomedical Imaging (D.M.), University of California San Francisco Medical Center, San Francisco, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9710-584X","authenticated-orcid":false,"given":"Nicolas","family":"Lee","sequence":"additional","affiliation":[{"name":"Departments of Orthopaedic Surgery (B.C.L. and N.L.) and Radiology and Biomedical Imaging (D.M.), University of California San Francisco Medical Center, San Francisco, California"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"issue":"7","key":"bib1-20230811","doi-asserted-by":"crossref","first-page":"701","DOI":"10.2340\/16501977-1164","article-title":"Use of musculoskeletal ultrasound in clinical studies in physiatry: the \u201cstethoscope\u201d is also becoming the \u201cpen\u201d","volume":"45","author":"Akkaya","year":"2013","journal-title":"J Rehabil Med."},{"issue":"2","key":"bib2-20230811","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1016\/j.jacr.2011.09.008","article-title":"Dramatically increased musculoskeletal ultrasound utilization from 2000 to 2009, especially by podiatrists in private offices","volume":"9","author":"Sharpe","year":"2012","journal-title":"J Am Coll Radiol."},{"issue":"4","key":"bib3-20230811","doi-asserted-by":"crossref","first-page":"708","DOI":"10.2106\/00004623-200404000-00007","article-title":"Detection and quantification of rotator cuff tears. Comparison of ultrasonographic, magnetic resonance imaging, and arthroscopic findings in seventy-one consecutive cases","volume":"86","author":"Teefey","year":"2004","journal-title":"J Bone Joint Surg Am."},{"issue":"2","key":"bib4-20230811","first-page":"111","article-title":"Arthroscopic evaluation of ultrasonography and magnetic resonance imaging for diagnosis of rotator cuff tear","volume":"10","author":"Frei","year":"2008","journal-title":"Ortop Traumatol Rehabil."},{"issue":"1","key":"bib5-20230811","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1016\/S0899-7071(01)00323-0","article-title":"Comparison of shoulder ultrasound and MR imaging in diagnosing full-thickness rotator cuff tears","volume":"26","author":"Chang","year":"2002","journal-title":"Clin Imaging."},{"issue":"16","key":"bib6-20230811","first-page":"667","article-title":"[Ultrasound study of the shoulder]","volume":"90","author":"Dubs","year":"2001","journal-title":"Praxis (Bern 1994)."},{"issue":"2","key":"bib7-20230811","doi-asserted-by":"crossref","first-page":"192","DOI":"10.1007\/s003300050133","article-title":"Diagnosis of rotator cuff lesions: comparison of US and MRI on 38 joint specimens","volume":"7","author":"Bachmann","year":"1997","journal-title":"Eur Radiol."},{"issue":"5","key":"bib8-20230811","doi-asserted-by":"crossref","first-page":"1449","DOI":"10.2214\/ajr.183.5.1831449","article-title":"Sonography and MRI of the shoulder: comparison of patient satisfaction","volume":"183","author":"Middleton","year":"2004","journal-title":"AJR Am J Roentgenol."},{"issue":"3","key":"bib9-20230811","doi-asserted-by":"crossref","first-page":"182","DOI":"10.1016\/j.jacr.2007.07.016","article-title":"Musculoskeletal imaging: medicare use, costs, and potential for cost substitution","volume":"5","author":"Parker","year":"2008","journal-title":"J Am Coll Radiol."},{"issue":"7","key":"bib10-20230811","doi-asserted-by":"crossref","first-page":"528","DOI":"10.1308\/147870811X13137608454939","article-title":"Surgeon-operated ultrasonography in a one-stop shoulder clinic","volume":"93","author":"Seagger","year":"2011","journal-title":"Ann R Coll Surg Engl."},{"issue":"3","key":"bib11-20230811","doi-asserted-by":"crossref","first-page":"400","DOI":"10.1016\/j.jhsa.2003.12.012","article-title":"Ultrasound for the early diagnosis of clinically suspected scaphoid fracture","volume":"29","author":"Senall","year":"2004","journal-title":"J Hand Surg Am."},{"issue":"1","key":"bib12-20230811","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1177\/0363546515574066","article-title":"Diagnostic accuracy of various imaging modalities for suspected lower extremity stress fractures: a systematic review with evidence-based recommendations for clinical practice","volume":"44","author":"Wright","year":"2016","journal-title":"Am J Sports Med."},{"issue":"3","key":"bib13-20230811","doi-asserted-by":"crossref","first-page":"206","DOI":"10.1097\/00005131-199803000-00013","article-title":"Ultrasound for the early diagnosis of tibial fracture healing after static interlocked nailing without reaming: clinical results","volume":"12","author":"Moed","year":"1998","journal-title":"J Orthop Trauma."},{"issue":"7","key":"bib14-20230811","doi-asserted-by":"crossref","first-page":"789","DOI":"10.1016\/j.acra.2015.11.018","article-title":"Musculoskeletal ultrasound training for radiology residents: lecture versus interactive learning module","volume":"23","author":"Maloney","year":"2016","journal-title":"Acad Radiol."},{"issue":"8","key":"bib15-20230811","doi-asserted-by":"crossref","first-page":"835","DOI":"10.1197\/aemj.9.8.835","article-title":"Residency training in emergency ultrasound: fulfilling the mandate","volume":"9","author":"Heller","year":"2002","journal-title":"Acad Emerg Med."},{"issue":"Suppl 2","key":"bib16-20230811","doi-asserted-by":"crossref","first-page":"S32","DOI":"10.1111\/j.1553-2712.2009.00589.x","article-title":"Resident training in emergency ultrasound: consensus recommendations from the 2008 Council of Emergency Medicine Residency Directors Conference","volume":"16","author":"Akhtar","year":"2009","journal-title":"Acad Emerg Med."},{"issue":"5","key":"bib17-20230811","doi-asserted-by":"crossref","first-page":"S290","DOI":"10.1097\/01.CCM.0000260680.16213.26","article-title":"Toward an ultrasound curriculum for critical care medicine","volume":"35","author":"Neri","year":"2007","journal-title":"Crit Care Med."},{"issue":"4","key":"bib18-20230811","doi-asserted-by":"crossref","first-page":"489","DOI":"10.1016\/j.amjsurg.2005.10.023","article-title":"An evaluation of the American College of Surgeons\u2019 ultrasound education program","volume":"191","author":"Staren","year":"2006","journal-title":"Am J Surg."},{"issue":"3","key":"bib19-20230811","doi-asserted-by":"crossref","first-page":"152","DOI":"10.1016\/j.jsurg.2010.02.008","article-title":"Is basic emergency ultrasound training feasible as part of standard undergraduate medical education?","volume":"67","author":"Gogalniceanu","year":"2010","journal-title":"J Surg Educ."},{"issue":"1","key":"bib20-20230811","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1007\/s13089-011-0052-9","article-title":"An integrated ultrasound curriculum (iUSC) for medical students: 4-year experience","volume":"3","author":"Hoppmann","year":"2011","journal-title":"Crit Ultrasound J."},{"issue":"1","key":"bib21-20230811","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1016\/j.annemergmed.2012.07.112","article-title":"Accuracy of point-of-care ultrasonography for diagnosis of elbow fractures in children","volume":"61","author":"Rabiner","year":"2013","journal-title":"Ann Emerg Med."},{"issue":"2","key":"bib22-20230811","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":"Chartier","year":"2017","journal-title":"CJEM."},{"issue":"6","key":"bib23-20230811","doi-asserted-by":"crossref","first-page":"420","DOI":"10.1016\/j.jhsa.2017.03.012","article-title":"The validity and reliability of a pocket-sized ultrasound to diagnose distal radius fracture and assess quality of closed reduction","volume":"42","author":"Lau","year":"2017","journal-title":"J Hand Surg Am."},{"issue":"4","key":"bib24-20230811","doi-asserted-by":"crossref","first-page":"e82","DOI":"10.1016\/j.jsurg.2015.01.021","article-title":"Impact of point-of-care ultrasound training on surgical residents\u2019 confidence","volume":"72","author":"Kotagal","year":"2015","journal-title":"J Surg Educ."},{"issue":"6","key":"bib25-20230811","doi-asserted-by":"crossref","first-page":"1195","DOI":"10.7863\/ultra.16.05077","article-title":"Feasibility and diagnostic accuracy of point-of-care abdominal sonography by pocket-sized imaging devices, performed by medical residents","volume":"36","author":"Kjesbu","year":"2017","journal-title":"J Ultrasound Med."},{"issue":"9","key":"bib26-20230811","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","author":"Ang","year":"2010","journal-title":"Am J Emerg Med."}],"container-title":["Journal of Bone and Joint Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/00004623-201905010-00015","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:44:57Z","timestamp":1787751897000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/00004623-201905010-00015"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,5,1]]},"references-count":26,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2019]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.17.01098","relation":{},"ISSN":["0021-9355","1535-1386"],"issn-type":[{"value":"0021-9355","type":"print"},{"value":"1535-1386","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,5,1]]}}}