Imaging of the elbow in children with wrist fracture: an unnecessary source of radiation and use of resources?
| العنوان: | Imaging of the elbow in children with wrist fracture: an unnecessary source of radiation and use of resources? |
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| المؤلفون: | Alison R. Gardner, Jasmeet Singh, Yousef Yasin, Lauren P. Golding, Bettina M. Gyr, Evelyn Y. Anthony |
| المصدر: | Pediatric Radiology. 45:1169-1173 |
| بيانات النشر: | Springer Science and Business Media LLC, 2015. |
| سنة النشر: | 2015 |
| مصطلحات موضوعية: | Male, Wrist Joint, musculoskeletal diseases, medicine.medical_specialty, Adolescent, Radiography, Elbow, Physical examination, Wrist, Fractures, Bone, Forearm, Elbow Joint, Humans, Medicine, Radiology, Nuclear Medicine and imaging, Child, Neuroradiology, medicine.diagnostic_test, business.industry, Medical record, Infant, Emergency department, Radiation Exposure, Wrist Injuries, Surgery, body regions, medicine.anatomical_structure, Child, Preschool, Pediatrics, Perinatology and Child Health, Female, business |
| الوصف: | Anecdotally accepted practice for evaluation of children with clinically suspected or radiographically proven wrist fracture in many urgent care and primary care settings is concurrent imaging of the forearm and elbow, despite the lack of evidence to support additional images. These additional radiographs may be an unnecessary source of radiation and use of health care resources. Our study assesses the necessity of additional radiographs of the forearm and elbow in children with wrist injury. We reviewed electronic medical records of children 17 and younger in whom wrist fracture was diagnosed in the emergency department. We identified the frequency with which additional radiographs of the proximal forearm and distal humerus demonstrated another site of acute injury. We identified 214 children with wrist fracture. Of those, 129 received additional radiographs of the elbow. Physical examination findings proximal to the wrist were documented in only 16 (12%) of these 129 children. A second injury proximal to the wrist fracture was present in 4 (3%) of these 129 children, all of whom exhibited physical examination findings at the elbow. No fractures were documented in children with a negative physical examination of the elbow. Although elbow fractures occasionally complicate distal forearm fractures in children, our findings indicate that a careful physical evaluation of the elbow is sufficient to guide further radiographic investigation. Routine radiographs of both the wrist and elbow in children with distal forearm fracture appear to be unnecessary when an appropriate physical examination is performed. |
| تدمد: | 1432-1998 0301-0449 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::3e47d1d0ff9b6c711b37ad3cb4aa5949 https://doi.org/10.1007/s00247-015-3304-1 |
| حقوق: | CLOSED |
| رقم الأكسشن: | edsair.doi.dedup.....3e47d1d0ff9b6c711b37ad3cb4aa5949 |
| قاعدة البيانات: | OpenAIRE |
Find this article in full text from Springer Verlag. | تدمد: | 14321998 03010449 |
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