Ultrasonography or Radiography for Suspected Pediatric Distal Forearm Fractures

To the Editor: In an open-label, multicenter, noninferiority, randomized trial, Snelling et al. 1 (June 1 issue) assess the use of ultrasonography in forearm fractures in children and adolescents. The most important advantage of ultrasonography is that it can easily and clearly detect epiphyseal damage in children, a finding that cannot be made with radiography. 2 Snelling et al. hoped to show that initial imaging with ultrasonography was noninferior to radiography with regard to subsequent physical function of the arm at 4 weeks. However, in general, in distal forearm fractures in children and adolescents — even fractures with imperfect alignment — subsequent . . .