Pitfalls in the diagnosis of occult elbow fractures in children

Elbow injuries are frequent but occult fractures are difficult to diagnose on x-rays. However, any delay in the diagnosis may severely impair the prognosis of some fractures. Simple tips may help the clinician read x-rays properly and avoid the classical pitfalls of elbow injuries in children. The c...

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Bibliographic Details
Published in:Archives de pédiatrie : organe officiel de la Société française de pédiatrie 2016-08, Vol.23 (8), p.869-874
Main Authors: Courvoisier, A, Calvelli, N, Bourgeois, E, Eid, A, Griffet, J
Format: Article
Language:eng ; fre
Subjects:
Child
Elbow Joint - diagnostic imaging
Elbow Joint - growth & development
Elbow Joint - injuries
Fractures, Bone - diagnostic imaging
Fractures, Closed - diagnostic imaging
Humans
Osteogenesis
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Summary:Elbow injuries are frequent but occult fractures are difficult to diagnose on x-rays. However, any delay in the diagnosis may severely impair the prognosis of some fractures. Simple tips may help the clinician read x-rays properly and avoid the classical pitfalls of elbow injuries in children. The chronology of appearance of ossification nuclei around the elbow is important to distinguish normal features from abnormality. Drawing simple geometric constructions on the x-rays may clarify most occult elbow fractures in children.
ISSN:1769-664X
DOI:10.1016/j.arcped.2016.05.013