Citation

George MP, Bixby S. Radiol. Clin. North Am. 2019; 57(4): 843-855.

Affiliation

Department of Radiology, Boston Children's Hospital, 300 Longwood Avenue, Boston MA 02115, USA.

Copyright

(Copyright © 2019, Elsevier Publishing)

DOI

10.1016/j.rcl.2019.02.009

PMID

31076036

Abstract

Missed fractures are common in pediatric trauma patients. Pediatric bone differs from adult bone in its composition and response to injury, leading to fracture patterns that may be subtle, radiographically unfamiliar, and challenging to distinguish from normal variation. Familiarity with the unique fracture types of the pediatric skeleton and site-specific injury patterns is critical, because prompt diagnosis can significantly alter clinical management and outcome. This article examines the unique features of pediatric bone contributing to missed fractures, the incidence of missed fractures, common injury types of the pediatric skeleton, and frequently missed site-specific fracture patterns, highlighting problem-solving techniques for challenging cases.

Copyright © 2019 Elsevier Inc. All rights reserved.

Language: en

Keywords

Emergency; Fracture; Missed; Pediatric; Radiography; Radiology