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Article: Acute elbow trauma in children: Spectrum of injury revealed by MR imaging not apparent on radiographs

TitleAcute elbow trauma in children: Spectrum of injury revealed by MR imaging not apparent on radiographs
Authors
Issue Date2001
Citation
American Journal of Roentgenology, 2001, v. 176, n. 1, p. 53-60 How to Cite?
AbstractOBJECTIVE. The objective of this study is to evaluate the frequency and significance of unrecognized bone or soft-tissue injury in pediatric patients with elbow trauma assessed with radiographs alone. SUBJECTS AND METHODS. Fifty children (32 boys and 18 girls; mean age, 7.3 years; age range, 2-12 years) with acute elbow trauma were examined with radiography and MR imaging. Radiographs were categorized into those showing normal findings, an effusion, an equivocal fracture, or an unequivocal fracture. MR examinations were assessed for an effusion, fracture, transphyseal fracture extension, physeal injury, bone bruising, and ligament or muscle injury. Average clinical follow-up was 1.6 years (range, 6-28 months) after injury. RESULTS. Radiographs showed normal findings in seven children (14%), an effusion only in 17 children (34%), and an unequivocal or equivocal fracture in 26 children (52%). MR imaging showed an effusion in 48 children (96%); unequivocal fracture in 37 children (74%), including transphyseal fracture in seven children (14%) and other physeal injury in three children (6%); bone bruising in 45 children (90%); ligament injury in six children (14%); and muscle injury in 19 children (38%). A less severe spectrum of injury occurred in children with normal findings on radiographs than in those with an effusion or fracture seen on radiography. Follow-up radiographs did not help in the detection of radiographically occult fractures. MR findings had no appreciable effect on patient treatment and no value in predicting duration of convalescence or clinical outcome at an average of 1.6 years after injury. CONCLUSION. In children with elbow trauma, MR imaging reveals a broad spectrum of bone and soft-tissue injury beyond that recognizable radiographically. However, the additional information afforded by MR imaging has little beating on treatment or clinical outcome.
Persistent Identifierhttp://hdl.handle.net/10722/291565
ISSN
2023 Impact Factor: 4.7
2023 SCImago Journal Rankings: 1.235
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorGriffith, J. F.-
dc.contributor.authorRoebuck, D. J.-
dc.contributor.authorCheng, J. C.Y.-
dc.contributor.authorYu Leung Chan-
dc.contributor.authorRainer, T. H.-
dc.contributor.authorNg, B. K.W.-
dc.contributor.authorMetreweli, C.-
dc.date.accessioned2020-11-17T14:54:38Z-
dc.date.available2020-11-17T14:54:38Z-
dc.date.issued2001-
dc.identifier.citationAmerican Journal of Roentgenology, 2001, v. 176, n. 1, p. 53-60-
dc.identifier.issn0361-803X-
dc.identifier.urihttp://hdl.handle.net/10722/291565-
dc.description.abstractOBJECTIVE. The objective of this study is to evaluate the frequency and significance of unrecognized bone or soft-tissue injury in pediatric patients with elbow trauma assessed with radiographs alone. SUBJECTS AND METHODS. Fifty children (32 boys and 18 girls; mean age, 7.3 years; age range, 2-12 years) with acute elbow trauma were examined with radiography and MR imaging. Radiographs were categorized into those showing normal findings, an effusion, an equivocal fracture, or an unequivocal fracture. MR examinations were assessed for an effusion, fracture, transphyseal fracture extension, physeal injury, bone bruising, and ligament or muscle injury. Average clinical follow-up was 1.6 years (range, 6-28 months) after injury. RESULTS. Radiographs showed normal findings in seven children (14%), an effusion only in 17 children (34%), and an unequivocal or equivocal fracture in 26 children (52%). MR imaging showed an effusion in 48 children (96%); unequivocal fracture in 37 children (74%), including transphyseal fracture in seven children (14%) and other physeal injury in three children (6%); bone bruising in 45 children (90%); ligament injury in six children (14%); and muscle injury in 19 children (38%). A less severe spectrum of injury occurred in children with normal findings on radiographs than in those with an effusion or fracture seen on radiography. Follow-up radiographs did not help in the detection of radiographically occult fractures. MR findings had no appreciable effect on patient treatment and no value in predicting duration of convalescence or clinical outcome at an average of 1.6 years after injury. CONCLUSION. In children with elbow trauma, MR imaging reveals a broad spectrum of bone and soft-tissue injury beyond that recognizable radiographically. However, the additional information afforded by MR imaging has little beating on treatment or clinical outcome.-
dc.languageeng-
dc.relation.ispartofAmerican Journal of Roentgenology-
dc.titleAcute elbow trauma in children: Spectrum of injury revealed by MR imaging not apparent on radiographs-
dc.typeArticle-
dc.description.naturelink_to_OA_fulltext-
dc.identifier.doi10.2214/ajr.176.1.1760053-
dc.identifier.pmid11133538-
dc.identifier.scopuseid_2-s2.0-0035184236-
dc.identifier.volume176-
dc.identifier.issue1-
dc.identifier.spage53-
dc.identifier.epage60-
dc.identifier.isiWOS:000166074000010-
dc.identifier.issnl0361-803X-

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