Abstract

Background: Regardless of the positive outcomes of prior studies concerning the value of ultrasound in diagnosing elbow fractures among children, the determinants of accuracy of the examined imaging technique are still under discussion. Therefore, in this systematic review, our objective was to analyze available studies on the accuracy of ultrasonography in evaluating elbow fractures.  Patients and Methods: We conducted a retrospective study on pediatric elbow fracture patients, which included 72 cases aged 4-14 years, both males and females. All included studies of patients were collected from Scopus and Web of Science of patients during the period from January 2023 to January 2024. To achieve the study objective, our study evaluated all the collected studies using a quality assessment tool in terms of the quality of ultrasound in pediatric fractures. Results: A total of last review studies were performed in children with elbow fractures which all collected in this study. The pooled outcomes of the ultrasound technique following sensitivity was 0.94 (0.90 – 0.98); specificity was 0.85 (0.0.82 – 0.92); positive was 63.57%; negative was 0.16%; Diagnostic ratio = 88.63%; and accuracy rate = 95.23%. Conclusion: Through our evaluation, we found that ultrasonography can be considered as a useful diagnostic imaging technique to detect elbow fractures in children