{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T22:49:36Z","timestamp":1787698176799,"version":"build-2784847793"},"reference-count":18,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2022,5,26]],"date-time":"2022-05-26T00:00:00Z","timestamp":1653523200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Pediatr."],"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Fracture is a common birth injury in neonates, and its diagnosis mainly depends on chest X-ray examination, while ultrasound is typically not included in the diagnostic work-up of neonatal fractures. The aim of this study was to investigate the feasibility of using ultrasound to replace X-rays for the diagnosis of fractures in newborns and to determine the ultrasound characteristics of such fractures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Bedside ultrasound with an appropriate probe and scanning angle was performed on 52 newborn infants with suspected fractures based on physical examination findings, and the ultrasound results were compared with the X-ray examination results.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>All 52 infants (100%) showed typical signs of fracture on ultrasound, including 46 cases of clavicle fracture, 3 cases of skull fracture, 2 cases of rib fracture, and 1 case of humerus fracture. Ultrasound was able to detect interrupted cortical continuity, displacement or angulation at the broken end, and callus formation during the recovery period. Chest X-ray examination was performed on 30 patients and identified 96.7% (29\/30) of fractures, and the coincidence rate between ultrasound and X-ray was 100%. However, the sensitivity of ultrasound was higher than that of X-ray.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Ultrasound diagnosis of neonatal fracture is accurate, reliable, simple, and feasible. Therefore, it can replace X-ray examinations for the routine diagnosis of common types of neonatal bone fractures.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fped.2022.847776","type":"journal-article","created":{"date-parts":[[2022,5,26]],"date-time":"2022-05-26T06:21:51Z","timestamp":1653546111000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":12,"title":["Ultrasound Instead of X-Ray to Diagnose Neonatal Fractures: A Feasibility Study Based on a Case Series"],"prefix":"10.3389","volume":"10","author":[{"given":"Jing","family":"Liu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Li","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ru-Xin","family":"Qiu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2022,5,26]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"54","DOI":"10.3760\/cma.j.issn.1007-9408.2005.01.018","article-title":"Clinical data of 363 cases of neonatal birth injuries and analysis of related factors","volume":"8","author":"Ma","year":"2005","journal-title":"Chin J Perinat Med"},{"key":"B2","doi-asserted-by":"publisher","first-page":"7","DOI":"10.1016\/j.adnc.2005.11.002","article-title":"Part2: birth trauma: injuries to the intraabdominal organs, peripheral nerves, and skeletal system","volume":"6","author":"Parker","year":"2006","journal-title":"Adv Neonatal Care."},{"key":"B3","doi-asserted-by":"publisher","first-page":"60","DOI":"10.1111\/ped.12497","article-title":"Neonatal clavicular fracture: recent 10 years study","volume":"57","author":"Ahn","year":"2015","journal-title":"Pediatr Int"},{"key":"B4","doi-asserted-by":"publisher","first-page":"27","DOI":"10.3760\/cma.j.issn.1007-9408.2017.01.007","article-title":"Clinical characteristics and risk factors of neonatal clavicle fracture","volume":"20","author":"Zhang","year":"2017","journal-title":"Chin J Perinat Med."},{"key":"B5","doi-asserted-by":"publisher","first-page":"64","DOI":"10.3969\/J.ISSN>1007-6611.2013.01.020","article-title":"Analysis of related obstetric factors in 37 cases of neonatal clavicle fracture","volume":"44","author":"Tian","year":"2013","journal-title":"J Shanxi Med Univ"},{"key":"B6","doi-asserted-by":"publisher","first-page":"571","DOI":"10.1016\/j.radcr.2017.04.013","article-title":"Salter-Harris I fracture of the distal humerus in a neonate: imaging appearance of radiographs, ultrasound, and arthrography","volume":"12","author":"Beckmann","year":"2017","journal-title":"Radiol Case Rep"},{"key":"B7","doi-asserted-by":"publisher","first-page":"F560","DOI":"10.1136\/archdischild-2018-316330","article-title":"Metabolic bone disease of prematurity: causes, recognition, prevention, treatment and long-term consequences","volume":"104","author":"Chinoy","year":"2019","journal-title":"Arch Dis Child Fetal Neonatal Ed."},{"key":"B8","doi-asserted-by":"publisher","first-page":"101086","DOI":"10.1016\/j.siny.2020.101086","article-title":"Screening for metabolic bone disease of prematurity","volume":"25","author":"Rayannavar","year":"2020","journal-title":"Semin Fetal Neonatal Med"},{"key":"B9","doi-asserted-by":"publisher","first-page":"332","DOI":"10.4274\/jcrpe.galenos.2019.2019.0091","article-title":"Metabolic bone disease in premature neonates: an unmet challenge","volume":"12","author":"Chacham","year":"2020","journal-title":"J Clin Res Pediatr Endocrinol"},{"key":"B10","doi-asserted-by":"publisher","first-page":"33","DOI":"10.19338\/j.issn.1672-2019.2017.07.009","article-title":"Application of ultrasound in the diagnosis of rib fracture","volume":"25","author":"Fu","year":"2017","journal-title":"China Med Eng"},{"key":"B11","doi-asserted-by":"publisher","first-page":"552","DOI":"10.16096\/J.cnki.nmgyxzz.2015.47.05","article-title":"Diagnostic value of high-frequency ultrasound for fractures when X-ray cannot display the ribs","volume":"47","author":"Xu","year":"2015","journal-title":"Inn Mong Med J."},{"key":"B12","doi-asserted-by":"publisher","first-page":"255","DOI":"10.3760\/cma.j.issn.1673-4777.2012.02.064","article-title":"Progress in the application of ultrasound in fracture diagnosis","volume":"7","author":"Wang","year":"2012","journal-title":"China Med."},{"key":"B13","doi-asserted-by":"publisher","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","author":"Weinberg","year":"2010","journal-title":"Injury"},{"key":"B14","doi-asserted-by":"publisher","first-page":"12","DOI":"10.1055\/a-1023-1782","article-title":"Fracture ultrasound of the extremities","volume":"41","author":"Ackermann","year":"2020","journal-title":"Ultraschall Med"},{"key":"B15","doi-asserted-by":"publisher","first-page":"33","DOI":"10.1097\/01.JAA.0000651736.02537.ef","article-title":"Using ultrasound to diagnose long bone fractures","volume":"33","author":"O'Brien","year":"2020","journal-title":"JAAPA"},{"key":"B16","doi-asserted-by":"publisher","first-page":"36","DOI":"10.3390\/medicina57010036","article-title":"A comparison of the epidemiology, clinical features, and treatment of acute osteomyelitis in hospitalized children in Latvia and Norway","volume":"57","author":"Thingsaker","year":"2021","journal-title":"Medicina"},{"key":"B17","doi-asserted-by":"publisher","first-page":"e15355","DOI":"10.1097\/MD.0000000000015355","article-title":"Nationwide epidemiologic study for pediatric osteomyelitis and septic arthritis in South Korea: a cross-sectional study of national health insurance review and assessment service","volume":"98","author":"Kim","year":"2019","journal-title":"Medicine"},{"key":"B18","first-page":"217","article-title":"Bacterial osteomyelitis: microbiological, clinical, therapeutic, and evolutive characteristics of 344 episodes","volume":"31","author":"del Pozo","year":"2018","journal-title":"Rev Esp Quimioter"}],"container-title":["Frontiers in Pediatrics"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fped.2022.847776\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,5,26]],"date-time":"2022-05-26T06:21:56Z","timestamp":1653546116000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fped.2022.847776\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,5,26]]},"references-count":18,"alternative-id":["10.3389\/fped.2022.847776"],"URL":"https:\/\/doi.org\/10.3389\/fped.2022.847776","relation":{},"ISSN":["2296-2360"],"issn-type":[{"value":"2296-2360","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,5,26]]},"article-number":"847776"}}