Journal article
Pediatric elbow trauma: an orthopaedic perspective on the importance of radiographic interpretation
Seminars in musculoskeletal radiology, v 11(1), pp 48-56
Mar 2007
PMID: 17665350
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Radiographic interpretation of pediatric elbow trauma presents a daunting task for both the radiologist and treating orthopaedic surgeon. Proper radiographic diagnosis and appropriate intervention requires a thorough understanding and appreciation of developmental anatomy. As the pediatric elbow matures, it transitions from multiple cartilaginous anlagen through a predictable pattern of ossification and fusion. When children sustain trauma to the elbow, they may have a limited capacity to communicate specific complaints and are sometimes difficult to examine reliably. Furthermore, the presence of multiple growth centers, and their variability, makes radiographic evaluation of pediatric elbow injuries particularly challenging. These variables, coupled with the known adverse long-term sequelae of pediatric elbow trauma (painful nonunion, malunion, elbow stiffness, growth disturbance, etc.) highlight the importance of accurate radiographic interpretation, which facilitates appropriate treatment. By using an orderly, systematic approach based on well-defined anatomical relationships and accepted radiographic markers, the radiologist may effectively interpret and communicate pertinent findings to the treating orthopaedic surgeon. Furthermore, using common classification systems may facilitate interdisciplinary communication. Finally, it is crucial that caregivers of children consider the possibility of child abuse in suspect cases.
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Details
- Title
- Pediatric elbow trauma: an orthopaedic perspective on the importance of radiographic interpretation
- Creators
- Sidney M Jacoby - Thomas Jefferson UniversityMartin J HermanWilliam B MorrisonA Lee Osterman
- Publication Details
- Seminars in musculoskeletal radiology, v 11(1), pp 48-56
- Publisher
- Thieme
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Pediatrics
- Web of Science ID
- WOS:000248422100006
- Scopus ID
- 2-s2.0-35148877311
- Other Identifier
- 991019169792204721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Radiology, Nuclear Medicine & Medical Imaging