Necessity of Routine Pelvic Radiograph in the Pediatric Blunt Trauma Patient

Background Pelvic radiographs are obtained frequently in pediatric blunt trauma. The authors hypothesize that there are clinical indicators that can predict pelvic fracture on a pelvic radiograph in the pediatric blunt trauma patient with a Glasgow Coma Scale score of 14 or 15. Methods A retrospecti...

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Bibliographic Details
Published in:Clinical pediatrics 2008-11, Vol.47 (9), p.935-940
Main Authors: Ramirez, Dana W. E., Schuette, Jennifer J., Knight, Vinita, Johnson, Elizabeth, Denise, Justin, Walker, Allen R.
Format: Article
Language:English
Subjects:
Adolescent
Back pain
Case-Control Studies
Child
Coma
Distension
Female
Femur
Fractures
Fractures, Bone - diagnostic imaging
Glasgow Coma Scale
Health Status Indicators
Hip
Humans
Indicators
Injury Severity Score
Male
Pain
Patients
Pediatrics
Pelvic Bones - diagnostic imaging
Pelvic Bones - injuries
Predictive Value of Tests
Radiography
Retrospective Studies
ROC Curve
Sensitivity and Specificity
Trauma
Ultrasonic imaging
Wounds, Nonpenetrating - diagnostic imaging
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Summary:Background Pelvic radiographs are obtained frequently in pediatric blunt trauma. The authors hypothesize that there are clinical indicators that can predict pelvic fracture on a pelvic radiograph in the pediatric blunt trauma patient with a Glasgow Coma Scale score of 14 or 15. Methods A retrospective case-control study of 33 patients with pelvic fractures and 63 patients without pelvic fractures was performed. Results 8 evaluated clinical indicators showed that pelvic contusions and abrasions (P = .026), hip/pelvic pain (P
ISSN:0009-9228
1938-2707
DOI:10.1177/0009922808320598