Comparative efficacy of ultrasound versus elbow arthrography in treating Monteggia fractures in young children.
- 1Department of Orthopedic Surgery, Fuyang people's Hospital Affiliated to Anhui Medical University, Anhui Provincial Clinical Research Center for Spinal Deformities, Fuyang People's Hospital, Fuyang, Anhui, 236000, PR China.
Abstract
Purpose
This study aims to compare the effectiveness and clinical value of ultrasound-assisted and arthrography-assisted treatment for acute Monteggia fractures in young children.Methods
We conducted a retrospective analysis of 40 cases of acute Monteggia fractures in children treated with Kirschner wire or elastic intramedullary nail fixation between April 2020 and April 2025. Among these cases, 19 were treated under arthrography assistance (Group A), and 21 were treated under ultrasound guidance (Group B). We recorded baseline data for both groups, including gender, age, fracture side and type, associated injuries, time from injury to surgery, internal fixation device, fluoroscopy time, surgical duration, follow-up duration, and internal fixation removal time. Postoperative X-ray examination was performed to assess the quality of fracture reduction.Results
Fluoroscopy time and surgical duration in Group B were significantly lower than in Group A (P < 0.05). Based on the evaluation criteria for assessing reduction quality, 17 cases were graded excellent, and 2 were considered good in Group A, while in Group B, 20 cases were deemed excellent and 1 was considered good. At the final follow-up, there was no significant difference in the range of elbow flexion, extension, pronation, and supination between the affected limbs of Group A and Group B (P > 0.05).Conclusion
Ultrasound not only saves surgical time and reduces intraoperative radiation exposure for the patients but also enables the exploration of peripheral nerves, vessels, and soft tissue compressions.
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BibTeX
@article{fan2026comparative,
title = {{Comparative efficacy of ultrasound versus elbow arthrography in treating Monteggia fractures in young children.}},
author = {YongFei Fan and ChaoYu Liu and XiuLin Ma and WenQiang Xu and HaiYang Yu and Wei Wang},
journal = {SICOT-J},
year = {2026},
month = nov,
doi = {10.1051/sicotj/2026078},
url = {https://europepmc.org/article/MED/42969650},
note = {CC BY},
}
RIS
TY - JOUR
TI - Comparative efficacy of ultrasound versus elbow arthrography in treating Monteggia fractures in young children.
AU - YongFei Fan
AU - ChaoYu Liu
AU - XiuLin Ma
AU - WenQiang Xu
AU - HaiYang Yu
AU - Wei Wang
PY - 2026
DA - 2026/11/02
JO - SICOT-J
DO - 10.1051/sicotj/2026078
UR - https://europepmc.org/article/MED/42969650
AB - Purpose This study aims to compare the effectiveness and clinical value of ultrasound-assisted and arthrography-assisted treatment for acute Monteggia fractures in young children.Methods We conducted a retrospective analysis of 40 cases of acute Monteggia fractures in children treated with Kirschner wire or elastic intramedullary nail fixation between April 2020 and April 2025. Among these cases, 19 were treated under arthrography assistance (Group A), and 21 were treated under ultrasound guidance (Group B). We recorded baseline data for both groups, including gender, age, fracture side and type, associated injuries, time from injury to surgery, internal fixation device, fluoroscopy time, surgical duration, follow-up duration, and internal fixation removal time. Postoperative X-ray examination was performed to assess the quality of fracture reduction.Results Fluoroscopy time and surgical duration in Group B were significantly lower than in Group A (P < 0.05). Based on the evaluation criteria for assessing reduction quality, 17 cases were graded excellent, and 2 were considered good in Group A, while in Group B, 20 cases were deemed excellent and 1 was considered good. At the final follow-up, there was no significant difference in the range of elbow flexion, extension, pronation, and supination between the affected limbs of Group A and Group B (P > 0.05).Conclusion Ultrasound not only saves surgical time and reduces intraoperative radiation exposure for the patients but also enables the exploration of peripheral nerves, vessels, and soft tissue compressions.
SN - 2426-8887
ER -