[Static metatarsalgia].

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Abstract

[Indexed for MEDLINE] 9. BMC Surg. 2025 Dec 10;26(1):32. doi: 10.1186/s12893-025-03309-6. Ultrasound-guided treatment for pediatric phalangeal and metatarsal fractures. Lu G(1), Wu X(2), Shen X(1), Li J(1), Li X(1), Xia J(1), Chen X(1), Wang T(1). Author information: (1)Department of Pediatric Orthopaedic Surgery, Tongji Medical College, Wuhan Children's Hospital (Wuhan Maternal and Child Healthcare Hospital, Huazhong University of Science & Technology, 100 Hong-Kong road, Wuhan, 430016, People's Republic of China. (2)Department of Pediatric Orthopaedic Surgery, Tongji Medical College, Wuhan Children's Hospital (Wuhan Maternal and Child Healthcare Hospital, Huazhong University of Science & Technology, 100 Hong-Kong road, Wuhan, 430016, People's Republic of China. wx2001091@163.com. OBJECTIVE: This study aimed to compare the effectiveness of ultrasound-guided closed reduction and fixation versus traditional techniques in managing pediatric phalangeal and metatarsal fractures. METHODS: This retrospective study included 112 pediatric patients with phalangeal or metatarsal fractures treated between January 2020 and December 2023. The participants were categorized into two groups: the ultrasound-guided group (US-guided; n = 50, including 37 with phalangeal and 13 with metatarsal fractures) and the conventional fluoroscopy-guided group (C-group; n = 62, including 32 with phalangeal and 30 with metatarsal fractures). The collected data included surgical time, frequency of X-ray examinations, radiation exposure, closed reduction rate, complication rate, and postoperative function. Postoperative functional outcomes were assessed with the American Orthopaedic Foot and Ankle Society (AOFAS) scoring system. RESULTS: Surgical time was significantly shorter in the US-guided group (average 44.36 ± 15.23 min) than in the C-group (average 59.15 ± 18.85 min; p