• Am J Emerg Med · Sep 2012

    Case Reports

    ED point-of-care ultrasound in the diagnosis of ankle fractures in children.

    • Ian Taggart, Nika Voskoboynik, Sachita Shah, and Otto Liebmann.
    • Department of Emergency Medicine, Hasbro Children's Hospital, Providence, RI, USA. ian_taggart@brown.edu
    • Am J Emerg Med. 2012 Sep 1;30(7):1328.e1-3.

    AbstractIn pediatric ankle injury, radiography is the current standard used to differentiate fracture from ligamentous injury; however, the associated cost, increased time, and radiation exposure pose a significant downside to this imaging modality. Point-of-care ultrasound may be an attractive alternative in this setting, as illustrated by this patient case. A 14-year-old boy presented to the emergency department with a left ankle inversion injury sustained while playing soccer. An emergency physician performed ultrasound examination that revealed findings consistent with a nondisplaced Salter-Harris I fracture of the distal fibula. The results of a formal radiograph confirmed this diagnosis. This case report presents the successful use of point-of-care ultrasound for detection of a Salter-Harris I ankle fracture, describes a stepwise approach for this new diagnostic technique in detail, and discusses its value in the setting of pediatric ankle injury.

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