While CT demonstrates superior sensitivity, particularly for undisplaced NBFs, ultrasonography offers a valuable non-ionizing alternative for initial fracture assessment in appropriate clinical contexts. Both modalities demonstrated high sensitivity for displaced fractures. However, the choice of imaging should balance the superior accuracy of CT against the safety and accessibility of USG, with awareness of operator dependency. Further prospective studies with multi-center participation and varied operator experience levels are warranted to determine optimal imaging strategies.
Anirudh et al. (Mon,) studied this question.