Ultrasound evaluation of the deformity of proximal humerus fractures – better than x-ray

Purpose: The treatment of juvenile proximal humerus fractures ist based on the extend of the deformity. The standard diagnosis with x-rays in 2 directions is error-prone and can lead to a sub-optimal treatment. The aim of this study was to evaluate if ultrasound imaging can improve the measurement of the deformity of proximal humerus fractures. Material and methods: In a prospective, multicenter trial children aged 0 – 12 years and with suspect of proximal humerus fracture were initially examined with a 10 MHz linear transducer in 4 directions and the maximum deformity was determined. Afterwards the standard x-r…