Summary

Point-of-care ultrasound (PoCUS) can provide an alternative to the traditional use of plain radiography and fluoroscopy in both the diagnosis and reduction of certain fractures. PoCUS also has potential in pregnant patients, and in children where ultrasound may surpass the sensitivity of radiography in poorly ossified bones. PoCUS guidance for forearm fracture reduction is a promising development, especially where there is a lack of real-time fluoroscopy or in reducing radiation dosages. The ability to check for fracture position prior to the application of a splint or cast can reduce the number of reduction attempts. Several studies have shown that ultrasound-guided forearm fracture reduction is very frequently successful on the first attempt, and that PoCUS determination of fracture position correlated well with radiography. Residency or fellowship training in PoCUS can be supplemented by specialised training courses or workshops for this and similar musculoskeletal ultrasound techniques.

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