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Diagnostic pitfall in children fractures

M Regauer, W Mutschler
BACKGROUND: Occult fractures in children and adults cannot by definition be diagnosed by conventional radiographs. These injuries are usually recognized as bone marrow edema by magnetic resonance imaging (MRI). There are no randomized controlled trials or prospective cohort studies concerning the correct management of occult fractures and, therefore, no evidence-based treatment guidelines can be drafted. OBJECTIVES: This article summarizes the current diagnostic and treatment concepts for occult fractures under special consideration of foot and ankle injuries...
March 2015: Der Unfallchirurg
P Jehanno, V Mas, F Fitoussi, J-M Frajman, P Valenti, K Mazda
Metacarpal fractures and dislocations in the fingers are common injuries in children's hands. Most of these can be treated successfully non-operatively, although a subset requires more aggressive treatment. Results following appropriate care in children are generally good. Twenty percent of them need a reduction, need for surgical stabilization is rare. Each injury is presented, including diagnostic, therapeutic principles, pitfalls to prevent and potential complications.
September 2013: Chirurgie de la Main
Kara G Gill
Pediatric hip pathology varies depending on patient age. Newborns are often screened for developmental dysplasia of the hip, whereas toddlers and older children can present later with pain, leg length discrepancy, or limp. Young children may have hip pain related to transient synovitis, septic arthritis, or Legg-Calvé-Perthes disease. Older children are more likely to suffer from slipped capital femoral epiphysis or apophyseal avulsion fractures. Knowledge about how the growing skeleton differs from adults as well as the classic imaging findings in many of these diagnoses is paramount when taking care of pediatric patients with suspected hip pathology...
July 2013: Seminars in Musculoskeletal Radiology
M Uhl, J Geiger, P C Strohm
Bone fractures in childhood are a common occurrence. A differentiated assessment of fractures is of great importance for the diagnostics, therapy planning and estimation of the prognosis. This review article explains the most important characteristics of skeletal trauma in childhood. Skeletal development, the mechanisms of fracture healing and growth disorders after injury to the epiphyseal plates and classification of fractures will be discussed and typical bone fractures in children and the pitfalls in X-ray diagnostics are demonstrated...
August 2011: Der Radiologe
Yoshihisa Matsumoto, Hiroshi Nawashiro, Youichi Uozumi, Hiroshi Kageyama, Kenji Sumi, Kimihiro Nagatani, Kenzo Minamimura, Kazuya Fujii, Satoshi Tomura, Terushige Toyooka, Atsushi Osumi, Hideo Osada, Nobusuke Tsuzuki, Katsuji Shima
The aim of this study is to analyze the usefulness of 64-raw multislice computed tomography (CT) scans and bone images of three-dimensional CT (3D-CT) scans for evaluation of mild head injuries in children. Thirteen children (9 boys and 4 girls, less than or equal to 15 years old) with mild head injury were included in the study. Head CT scans obtained within 24 hours after injury. All children had no episodes of loss of consciousness, amnesia, epilepsy, vomiting, and no neurological abnormality on arrival at hospital...
January 2010: No Shinkei Geka. Neurological Surgery
H Jakob, J Brand, I Marzi
Important prerequisites to adequately treat pediatric patients with multiple trauma are a profound knowledge of the underlying mechanisms of injury, common injury patterns and the associated mortality. The younger the child the more injury patterns as well as organ-specific injury severity differ in comparison to adult trauma patients. Traumatic brain and thorax injuries are the key to the prognosis of the injured child. Abdominal injuries rarely require surgery in contrast to adults. Spine and pelvic injuries as well as injuries of the extremities make age-adapted surgical procedures mandatory...
November 2009: Der Unfallchirurg
J Walsh, W Reardon
Awareness of the rare condition of Job syndrome is low among both paediatricians and geneticists. Consequently, observation of the recurrent fractures in the majority of such cases can result in misdiagnosis of non-accidental injury in young children who have the syndrome. The case we report here represents an example of this diagnostic pitfall, which deserves wide recognition due to the serious consequences for children, families and paediatricians acting as experts in legal actions in such circumstances.
January 2008: Archives of Disease in Childhood
Hyun Sook Hong, Jang Gyu Cha, Sang Hyun Paik, Seong Jin Park, Jai Soung Park, Dae Ho Kim, Hae Kyung Lee
OBJECTIVE: We describe the sonographic findings of nasal fracture in children, and we evaluate the diagnostic value of sonography as compared with conventional radiography and clinical findings to determine whether sonography can be a primary technique for evaluating nasal fracture in children. MATERIALS AND METHODS: Conventional radiographs and sonographic scans were obtained in 26 consecutive children with nasal trauma who were seen at our hospital from March 2003 to March 2005...
January 2007: AJR. American Journal of Roentgenology
Ilhan Ozkan, Emre Cullu
The incidence of stress fractures in young athletes has increased with the popularization of sports among children and adolescents. Stress fractures are less common in children and adolescents than in adults. A combination of intrinsic or anatomical factors and extrinsic factors such as training pitfalls and environmental insufficiencies predispose athletes to stress fractures. This review aims to outline current knowledge about clinical manifestations, diagnostic imaging, and treatment of stress fractures in children and adolescents...
2004: Acta Orthopaedica et Traumatologica Turcica
Andrew D Perron, Mark D Miller, William J Brady
Musculoskeletal injuries are frequently the reason children and adolescents seek care in the emergency department. In the skeletally immature patient, injury to the open growth plate can occur. When missed or mismanaged, these injuries can result in growth plate arrest. The emergency physician needs to remain vigilant for these injuries. This review article examines the clinical presentation, diagnostic techniques, and management options applicable to the emergency physician.
January 2002: American Journal of Emergency Medicine
C T Ramos, B Z Koplewitz, P S Babyn, P S Manson, S H Ein
BACKGROUND/PURPOSE: Diaphragmatic injuries have been reported to be a predictor of serious associated injuries in trauma and a marker of severity. The aim of this retrospective study was to identify pitfalls in the diagnosis and treatment of these injuries in children. METHODS: Data were collected from all patients admitted to the trauma service with traumatic diaphragmatic hernias for the period of January 1977 to August 1998. The authors evaluated 15 cases of traumatic diaphragmatic rupture (6 girls and 9 boys)...
April 2000: Journal of Pediatric Surgery
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