{"id":"https://openalex.org/W7220599587","doi":null,"title":"Diagnostic Value of Joint Effusion and the FAT-PAD Sign in Pediatric Elbow Trauma: A Systematic Review","display_name":"Diagnostic Value of Joint Effusion and the FAT-PAD Sign in Pediatric Elbow Trauma: A Systematic Review","publication_year":2026,"publication_date":"2026-10-02","ids":{"openalex":"https://openalex.org/W7220599587"},"language":"es","primary_location":{"id":"pmh:oai:ojs2.www.cienciayeducacion.com:article/3614","doi":null,"is_oa":true,"landing_page_url":"https://cienciayeducacion.com/index.php/journal/article/view/3614","pdf_url":"https://cienciayeducacion.com/index.php/journal/article/download/3614/5147","source":{"id":"https://openalex.org/S4387278416","display_name":"Ciencia y Educaci\u00f3n","issn_l":"2707-3378","issn":["2707-3378"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj"],"host_organization":"https://openalex.org/I4210121932","host_organization_name":"Ecuatesis","host_organization_lineage":["https://openalex.org/I4210121932"],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"2707-3378","raw_type":"info:eu-repo/semantics/article"},"volume":null,"type":"review","is_traditional":true,"indexed_in":[],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://cienciayeducacion.com/index.php/journal/article/download/3614/5147","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5144183803","display_name":"Teddy Jhosep Calero Ch\u00e1vez","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210122070","display_name":"Ministerio de Salud P\u00fablica","ror":"https://ror.org/02t46gq94","country_code":"EC","type":"government","lineage":["https://openalex.org/I4210122070"]}],"countries":["EC"],"is_corresponding":false,"raw_author_name":"Calero Ch\u00e1vez, Teddy Jhosep","raw_affiliation_strings":["Centro de Salud Quinchicoto, (Ecuador)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centro de Salud Quinchicoto, (Ecuador)","institution_ids":["https://openalex.org/I4210122070"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5098670538","display_name":"Jeanneth Elizabeth Sumba Lusero","orcid":"https://orcid.org/0009-0007-1850-9648","observed_orcids":["https://orcid.org/0009-0007-1850-9648"]},"institutions":[{"id":"https://openalex.org/I4396570508","display_name":"Hospital General del Sur de Quito, IESS","ror":"https://ror.org/03zykbw64","country_code":"EC","type":"healthcare","lineage":["https://openalex.org/I4396570508"]}],"countries":["EC"],"is_corresponding":false,"raw_author_name":"Sumba Lusero,  Jeanneth Elizabeth","raw_affiliation_strings":["Hospital IESS Quito Sur, (Ecuador)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Hospital IESS Quito Sur, (Ecuador)","institution_ids":["https://openalex.org/I4396570508"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5152422283","display_name":"Emily Dayanara Preciado D\u00edaz","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210116615","display_name":"Universidad Internacional de La Rioja","ror":"https://ror.org/029gnnp81","country_code":"ES","type":"education","lineage":["https://openalex.org/I4210116615"]}],"countries":["ES"],"is_corresponding":false,"raw_author_name":"Preciado D\u00edaz, Emily Dayanara","raw_affiliation_strings":["Universidad Internacional de La Rioja (UNIR), (Espa\u00f1a)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Universidad Internacional de La Rioja (UNIR), (Espa\u00f1a)","institution_ids":["https://openalex.org/I4210116615"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5033907614","display_name":"Alicia Nathaly Vargas Lozada","orcid":"https://orcid.org/0009-0001-9224-9908","observed_orcids":["https://orcid.org/0009-0001-9224-9908"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Vargas Lozada, Alicia Nathaly","raw_affiliation_strings":["Investigadora Independiente, (Ecuador)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Investigadora Independiente, (Ecuador)","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5157411380","display_name":"Andrea Mar\u00eda Zumba L\u00f3pez","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Zumba L\u00f3pez, Andrea Mar\u00eda","raw_affiliation_strings":["Investigadora Independiente, (Ecuador)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Investigadora Independiente, (Ecuador)","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":3,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11427","display_name":"Elbow and Forearm Trauma Treatment","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2732","display_name":"Orthopedics and Sports Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11427","display_name":"Elbow and Forearm Trauma Treatment","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2732","display_name":"Orthopedics and Sports Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10658","display_name":"Bone fractures and treatments","score":0.00019999999494757503,"subfield":{"id":"https://openalex.org/subfields/2732","display_name":"Orthopedics and Sports Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12235","display_name":"Child Abuse and Related Trauma","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/elbow-fractures","display_name":"elbow fractures","score":0.5550000071525574},{"id":"https://openalex.org/keywords/pediatric-elbow-injury","display_name":"pediatric elbow injury","score":0.875},{"id":"https://openalex.org/keywords/fat-pad-sign","display_name":"fat pad sign","score":0.8379999995231628},{"id":"https://openalex.org/keywords/joint-effusion","display_name":"joint effusion","score":0.984000027179718},{"id":"https://openalex.org/keywords/occult-fractures","display_name":"occult fractures","score":0.8330000042915344},{"id":"https://openalex.org/keywords/supracondylar-humeral-fractures","display_name":"supracondylar humerus fracture","score":0.8299999833106995},{"id":"https://openalex.org/keywords/proximal-ulna-fracture","display_name":"proximal ulna fracture","score":0.8029999732971191},{"id":"https://openalex.org/keywords/proximal-radius-fractures","display_name":"proximal radius fractures","score":0.9020000100135803},{"id":"https://openalex.org/keywords/lateral-humeral-condyle-fracture","display_name":"lateral humeral condyle fracture","score":0.9649999737739563},{"id":"https://openalex.org/keywords/ultrasound","display_name":"ultrasound","score":0.46000000834465027},{"id":"https://openalex.org/keywords/diagnostic-accuracy","display_name":"diagnostic accuracy","score":0.8370000123977661}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9452999830245972},{"id":"https://openalex.org/C520017518","wikidata":"https://www.wikidata.org/wiki/Q178934","display_name":"Occult","level":3,"score":0.7031000256538391},{"id":"https://openalex.org/C2781184374","wikidata":"https://www.wikidata.org/wiki/Q42586","display_name":"Elbow","level":2,"score":0.682699978351593},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.6520000100135803},{"id":"https://openalex.org/C163430725","wikidata":"https://www.wikidata.org/wiki/Q424532","display_name":"Effusion","level":2,"score":0.6337000131607056},{"id":"https://openalex.org/C143753070","wikidata":"https://www.wikidata.org/wiki/Q162564","display_name":"Ultrasound","level":2,"score":0.5781999826431274},{"id":"https://openalex.org/C36454342","wikidata":"https://www.wikidata.org/wiki/Q245341","display_name":"Radiography","level":2,"score":0.5418999791145325},{"id":"https://openalex.org/C2778573185","wikidata":"https://www.wikidata.org/wiki/Q1499629","display_name":"Joint effusion","level":3,"score":0.3781999945640564},{"id":"https://openalex.org/C95190672","wikidata":"https://www.wikidata.org/wiki/Q815382","display_name":"Meta-analysis","level":2,"score":0.365200012922287},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.3596999943256378},{"id":"https://openalex.org/C529618451","wikidata":"https://www.wikidata.org/wiki/Q234904","display_name":"Ultrasonography","level":2,"score":0.32510000467300415},{"id":"https://openalex.org/C2779293907","wikidata":"https://www.wikidata.org/wiki/Q127556","display_name":"Osteochondritis dissecans","level":2,"score":0.3199999928474426},{"id":"https://openalex.org/C3020132585","wikidata":"https://www.wikidata.org/wiki/Q2671652","display_name":"Diagnostic accuracy","level":2,"score":0.2849000096321106},{"id":"https://openalex.org/C136948725","wikidata":"https://www.wikidata.org/wiki/Q1458306","display_name":"Soft tissue","level":2,"score":0.266400009393692},{"id":"https://openalex.org/C3019719930","wikidata":"https://www.wikidata.org/wiki/Q3910099","display_name":"Predictive value","level":2,"score":0.2662000060081482}],"mesh":[],"locations_count":1,"locations":[{"id":"pmh:oai:ojs2.www.cienciayeducacion.com:article/3614","doi":null,"is_oa":true,"landing_page_url":"https://cienciayeducacion.com/index.php/journal/article/view/3614","pdf_url":"https://cienciayeducacion.com/index.php/journal/article/download/3614/5147","source":{"id":"https://openalex.org/S4387278416","display_name":"Ciencia y Educaci\u00f3n","issn_l":"2707-3378","issn":["2707-3378"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj"],"host_organization":"https://openalex.org/I4210121932","host_organization_name":"Ecuatesis","host_organization_lineage":["https://openalex.org/I4210121932"],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"2707-3378","raw_type":"info:eu-repo/semantics/article"}],"best_oa_location":{"id":"pmh:oai:ojs2.www.cienciayeducacion.com:article/3614","doi":null,"is_oa":true,"landing_page_url":"https://cienciayeducacion.com/index.php/journal/article/view/3614","pdf_url":"https://cienciayeducacion.com/index.php/journal/article/download/3614/5147","source":{"id":"https://openalex.org/S4387278416","display_name":"Ciencia y Educaci\u00f3n","issn_l":"2707-3378","issn":["2707-3378"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj"],"host_organization":"https://openalex.org/I4210121932","host_organization_name":"Ecuatesis","host_organization_lineage":["https://openalex.org/I4210121932"],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"2707-3378","raw_type":"info:eu-repo/semantics/article"},"sustainable_development_goals":[{"score":0.9907000064849854,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Systematic Review","id":"https://openalex.org/study-designs/systematic-review"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7220599587.pdf","grobid_xml":"https://content.openalex.org/works/W7220599587.grobid-xml"},"referenced_works_count":14,"referenced_works":["https://openalex.org/W3007037822","https://openalex.org/W3019809074","https://openalex.org/W3138768999","https://openalex.org/W4283456880","https://openalex.org/W4308368745","https://openalex.org/W4315709578","https://openalex.org/W4387661187","https://openalex.org/W4389966136","https://openalex.org/W4401067243","https://openalex.org/W4401172917","https://openalex.org/W4407463596","https://openalex.org/W4412744944","https://openalex.org/W7160926325","https://openalex.org/W7197031978"],"related_works":["https://openalex.org/W1904720761","https://openalex.org/W4308368745","https://openalex.org/W2051457106","https://openalex.org/W4402662565","https://openalex.org/W1982710914","https://openalex.org/W4411544318","https://openalex.org/W1987356938","https://openalex.org/W1970079546","https://openalex.org/W2128496542","https://openalex.org/W2003307750"],"abstract_inverted_index":{"The":[0,47,97,135],"objective":[1],"was":[2,37,49],"to":[3],"analyze":[4],"the":[5,8,15,40,43,59,71,83,94,101,126,143,152,177,202],"evidence":[6],"regarding":[7],"diagnostic":[9,63,199],"value":[10],"of":[11,42,55,103,115,125,156,204],"joint":[12,174],"effusion":[13,175],"and":[14,17,58,66,86,131,159,165,176,207],"anterior":[16,144],"posterior":[18,136],"fat":[19,106,137,145,178],"pad":[20,107,138,146,179],"signs":[21,72],"for":[22,185],"identifying":[23],"fractures\u2014particularly":[24],"radiographically":[25],"occult":[26,116,188],"fractures\u2014in":[27],"pediatric":[28],"patients":[29],"with":[30,111],"acute":[31],"elbow":[32,192],"trauma.":[33,193],"A":[34],"systematic":[35],"review":[36],"conducted":[38,50],"following":[39],"recommendations":[41],"PRISMA":[44],"2020":[45],"statement.":[46],"search":[48],"in":[51,93,190],"PubMed/MEDLINE,":[52],"Scopus,":[53],"Web":[54],"Science,":[56],"Embase,":[57],"Cochrane":[60],"Library.":[61],"Primary":[62],"evaluation":[64],"studies":[65],"synthesis":[67],"publications":[68,90],"that":[69,100,173],"analyzed":[70],"under":[73],"study":[74],"using":[75],"conventional":[76],"radiography":[77],"or":[78],"ultrasound":[79,154],"were":[80,91],"included.":[81],"Following":[82],"identification,":[84],"screening,":[85],"eligibility":[87],"process,":[88],"12":[89],"included":[92],"qualitative":[95],"synthesis.":[96],"results":[98],"showed":[99,139],"presence":[102],"a":[104,112,196],"positive":[105],"sign":[108,180],"is":[109,171,195],"associated":[110],"significant":[113],"proportion":[114],"fractures,":[117],"predominantly":[118],"supracondylar":[119],"humeral":[120,133],"lesions,":[121],"followed":[122],"by":[123],"fractures":[124],"proximal":[127,129],"ulna,":[128],"radius,":[130],"lateral":[132],"condyle.":[134],"greater":[140],"specificity":[141],"than":[142],"as":[147],"an":[148,187],"isolated":[149],"sign,":[150],"whilst":[151],"combined":[153],"assessment":[155],"effusion,":[157],"lipohaemarthrosis":[158],"cortical":[160],"abnormalities":[161],"demonstrated":[162],"high":[163,166],"sensitivity":[164],"negative":[167],"predictive":[168],"values.":[169],"It":[170],"concluded":[172],"constitute":[181],"relevant":[182],"indirect":[183],"findings":[184],"suspecting":[186],"fracture":[189],"paediatric":[191],"Ultrasound":[194],"useful":[197],"complementary":[198],"tool,":[200],"although":[201],"heterogeneity":[203],"confirmation":[205],"criteria":[206],"methods":[208],"limits":[209],"direct":[210],"comparison":[211],"between":[212],"studies.":[213]},"counts_by_year":[],"updated_date":"2026-11-07T11:25:07.637180","created_date":"2026-10-06T00:00:00"}