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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">healthcare</journal-id><journal-title-group><journal-title xml:lang="ru">Здравоохранение. Healthcare</journal-title><trans-title-group xml:lang="en"><trans-title>Healthcare</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1027-7218</issn><publisher><publisher-name>Republican Scientific and Practical Center for Medical Technologies, Informatization, Management and Health Economics</publisher-name></publisher></journal-meta><article-meta><article-id custom-type="elpub" pub-id-type="custom">healthcare-113</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОБМЕН ОПЫТОМ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>EXCHANGE OF EXPERIENCE</subject></subj-group></article-categories><title-group><article-title>Практические аспекты использования ультразвукового исследования переломов костей предплечья у детей</article-title><trans-title-group xml:lang="en"><trans-title>Practical aspects of using ultrasound examination of forearm fractures in children</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Кравченко</surname><given-names>А. П.</given-names></name><name name-style="western" xml:lang="en"><surname>Krauchanka</surname><given-names>A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Кравченко Андрей Петрович — врач-хирург, ординатор хирургического отделения</p><p>ул. Черняховского, 2, 222001, г. Крупки, БеларусьСл. тел. +375 17 964-26-13</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Павлюкевич</surname><given-names>Г. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Pauliukevich</surname><given-names>H.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Крупки, Беларусь </p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Афнагель</surname><given-names>Е. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Afnahel</surname><given-names>Ya.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Крупки, Беларусь </p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Мытник</surname><given-names>Н. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Mytnik</surname><given-names>M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Крупки, Беларусь </p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Василевич</surname><given-names>Р. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Vasilevich</surname><given-names>R.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Крупки, Беларусь </p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Стригалев</surname><given-names>А. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Strigalev</surname><given-names>A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Крупки, Беларусь </p></bio><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff xml:lang="ru" id="aff-1"><institution>Крупская центральная районная больница</institution><country>Belarus</country></aff><pub-date pub-type="collection"><year>2025</year></pub-date><pub-date pub-type="epub"><day>23</day><month>09</month><year>2025</year></pub-date><volume>0</volume><issue>5</issue><fpage>71</fpage><lpage>80</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Кравченко А.П., Павлюкевич Г.А., Афнагель Е.С., Мытник Н.Н., Василевич Р.М., Стригалев А.В., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Кравченко А.П., Павлюкевич Г.А., Афнагель Е.С., Мытник Н.Н., Василевич Р.М., Стригалев А.В.</copyright-holder><copyright-holder xml:lang="en">Krauchanka A., Pauliukevich H., Afnahel Y., Mytnik M., Vasilevich R., Strigalev A.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://healthcare.ejournal.by/jour/article/view/113">https://healthcare.ejournal.by/jour/article/view/113</self-uri><abstract><p>Ультразвуковое исследование при повреждении костей скелета в последнее время приобретает все большее значение. Особенно это важно при ведении пациентов детского возраста с травмами, когда в силу физиологии растущего организма действие ионизирующего излучения при рентгеновской диагностике как золотого стандарта исследований костных повреждений может привести к нежелательным последствиям для здоровья. Цель исследования — описать преимущество и практические аспекты ультразвукового исследования костей предплечья у детей при переломах диафиза, а также ультразвукового контроля до и после закрытой ручной репозиции переломов при смещении отломков. Приводятся практические советы постановки ультразвукового датчика, а также особенности оценки ультразвукового изображения костной ткани в норме и при травмах в зависимости от морфологии перелома и смещения костных отломков. </p></abstract><trans-abstract xml:lang="en"><p>Ultrasound examination of bone injuries has recently become increasingly important. This is especially important in treatment of pediatric patients with injuries, because of peculiarity of) the physiology of a growing organism, the effect of ionizing radiation in X-ray diagnostics, can lead to undesirable health consequences. The purpose of our study is to describe the practical aspects of ultrasound examination of fracture forearm bones in children with fractures, as well as ultrasound control during closed manual reduction of fractures with displacement of fragments. We provide practical advice on probe placement, as well as features of assessing the ultrasound image of bone in health and with injuries, depending on the type of fracture and displacement of bone fragments.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>закрытая ручная репозиция</kwd><kwd>ультразвуковая диагностика</kwd><kwd>переломы костей предплечья</kwd></kwd-group><kwd-group xml:lang="en"><kwd>closed manual reposition</kwd><kwd>ultrasound diagnostics</kwd><kwd>forearm fractures</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">S2e Leitlinie Fraktursonografie / Deutsche Gesellschaft fur Ultraschall in der Medizin e.V. (DEGUM) // AWMF online. Portal der wissenschaftlichen Medizin. — URL: https://register.awmf.org/de/leitlinien/detail/085-003 (date of access: 16.02.2025).</mixed-citation><mixed-citation xml:lang="en">S2e Leitlinie Fraktursonografie / Deutsche Gesellschaft fur Ultraschall in der Medizin e.V. (DEGUM) // AWMF online. Portal der wissenschaftlichen Medizin. — URL: https://register.awmf.org/de/leitlinien/detail/085-003 (date of access: 16.02.2025).</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Оптимизация радиационной защиты при контроле облучения персонала: серия докладов по безопасности : серия докладов по безопасности, № 21 / Международное агентство по атомной энергии. — Вена, 2003. — 82 с.</mixed-citation><mixed-citation xml:lang="en">Оптимизация радиационной защиты при контроле облучения персонала: серия докладов по безопасности : серия докладов по безопасности, № 21 / Международное агентство по атомной энергии. — Вена, 2003. — 82 с.</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Bedside ultrasound diagnosis of nonangulated distal forearm fractures in the pediatric emergency department / F. Chaar-Alvarez, F. Warkentine, K. Cross [et al.] // Pediatric Emergency Care. — 2011. — Vol. 27, № 11. — P. 1027—1032.</mixed-citation><mixed-citation xml:lang="en">Bedside ultrasound diagnosis of nonangulated distal forearm fractures in the pediatric emergency department / F. Chaar-Alvarez, F. Warkentine, K. Cross [et al.] // Pediatric Emergency Care. — 2011. — Vol. 27, № 11. — P. 1027—1032.</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Ang, Sh.-H. Ultrasound-guided reduction of distal radius fractures / Sh.-H. Ang, Sh.-W. Lee, K.-Y. Lam // The American Journal of Emergency Medicine. — 2010. — № 28 (9). — P. 1002—1008.</mixed-citation><mixed-citation xml:lang="en">Ang, Sh.-H. Ultrasound-guided reduction of distal radius fractures / Sh.-H. Ang, Sh.-W. Lee, K.-Y. Lam // The American Journal of Emergency Medicine. — 2010. — № 28 (9). — P. 1002—1008.</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Ultrasound-guided closed reduction and kirschner wires internal fixation for the treatment of Kilfoylelland III medial condylar fracture of humerus in children / S. Yuan, Zh.-Ch. Li, Sh.-J. Lyu [et. al.] // China journal of orthopaedics and traumatology. — 2021. — № 34 (5). — P. 437—441.</mixed-citation><mixed-citation xml:lang="en">Ultrasound-guided closed reduction and kirschner wires internal fixation for the treatment of Kilfoylelland III medial condylar fracture of humerus in children / S. Yuan, Zh.-Ch. Li, Sh.-J. Lyu [et. al.] // China journal of orthopaedics and traumatology. — 2021. — № 34 (5). — P. 437—441.</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Ultrasound-guided reduction and percutaneous crossed pin fixation for the treatment of displaced supracondylar fracture of the humerus in children / W.-B. Xu, R.-D. Dai, Y. Liu [et. al.] // China journal of orthopaedics and traumatology. — 2020. — № 33 (10). — P. 907—911.</mixed-citation><mixed-citation xml:lang="en">Ultrasound-guided reduction and percutaneous crossed pin fixation for the treatment of displaced supracondylar fracture of the humerus in children / W.-B. Xu, R.-D. Dai, Y. Liu [et. al.] // China journal of orthopaedics and traumatology. — 2020. — № 33 (10). — P. 907—911.</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Chen, L. Diagnosis and guided reduction of forearm fractures in children using bedside ultrasound / L. Chen, Y. Kim, Chr. Moore // Pediatric Emergency Care. — 2007. — № 23 (8). — P. 528—531.</mixed-citation><mixed-citation xml:lang="en">Chen, L. Diagnosis and guided reduction of forearm fractures in children using bedside ultrasound / L. Chen, Y. Kim, Chr. Moore // Pediatric Emergency Care. — 2007. — № 23 (8). — P. 528—531.</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Shen, S. Value of ultrasound-guided closed reduction and minimally invasive fixation in the treatment of metacarpal fractures / S. Shen, X. Wang, Z. Fu // Journal of Ultrasound in Medicine. — 2019. — № 38 (10). — P. 2659—2666.</mixed-citation><mixed-citation xml:lang="en">Shen, S. Value of ultrasound-guided closed reduction and minimally invasive fixation in the treatment of metacarpal fractures / S. Shen, X. Wang, Z. Fu // Journal of Ultrasound in Medicine. — 2019. — № 38 (10). — P. 2659—2666.</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Gillon, J. T. Comparison of ultrasound-guided versus fluoroscopy-guided reduction of forearm fractures in children / J. T. Gillon, M. Gorn, M. Wilkinson // Emergency Radiology. — 2020. — № 28 (2). — P. 303—307.</mixed-citation><mixed-citation xml:lang="en">Gillon, J. T. Comparison of ultrasound-guided versus fluoroscopy-guided reduction of forearm fractures in children / J. T. Gillon, M. Gorn, M. Wilkinson // Emergency Radiology. — 2020. — № 28 (2). — P. 303—307.</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Актуальные проблемы травматологии и ортопедии : сб. науч. ст. / под ред. М. А. Герасименко. — Минск : Беларуская навука, 2023. — Вып. 1. — 201 с.</mixed-citation><mixed-citation xml:lang="en">Актуальные проблемы травматологии и ортопедии : сб. науч. ст. / под ред. М. А. Герасименко. — Минск : Беларуская навука, 2023. — Вып. 1. — 201 с.</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Отдельнов, Л. А. Современные подходы к обучению программам Point-of-care ultrasound / Л. А. Отдельнов, О. В. Горох // Медицинское образование и профессиональное развитие. — 2021. — Т. 12, № 2. — C. 86—94.</mixed-citation><mixed-citation xml:lang="en">Отдельнов, Л. А. Современные подходы к обучению программам Point-of-care ultrasound / Л. А. Отдельнов, О. В. Горох // Медицинское образование и профессиональное развитие. — 2021. — Т. 12, № 2. — C. 86—94.</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Мусалатов, Х. А. Травматология и ортопедия / Х. А. Мусалатов, Г. С. Юмашев. — М. : Медицина, 1995. — 257 с.</mixed-citation><mixed-citation xml:lang="en">Мусалатов, Х. А. Травматология и ортопедия / Х. А. Мусалатов, Г. С. Юмашев. — М. : Медицина, 1995. — 257 с.</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
