Abstract：
BACKGROUND:Additional fractures occur in association with proximal radius fractures, but the extent of these secondary injuries has not been systematically assessed. OBJECTIVE:To ascertain the frequency and nature of additional fractures associated with proximal radius injuries in a large pediatric cohort. MATERIALS AND METHODS:Radiographs meeting search criteria for proximal radius fracture during a 5-year period were reviewed. Fracture characteristics and the coexistence of additional elbow fractures were recorded and analyzed. The retrospective review was compared with initial interpretation and a blinded review by two pediatric musculoskeletal radiologists. RESULTS:Four hundred ninety-four proximal radius fractures were included. The radial neck was the most common fracture site (89%). Neck fractures occurred in younger patients (mean: 7.3 years) than head fractures (mean: 13.3 years) (P<0.001). Additional elbow fractures occurred in 39%, most commonly at the olecranon (22%). Additional fractures occurred in younger patients (mean: 7.2 years) than isolated proximal radius fractures (mean: 8.5 years) (P<0.001). Elbow joint effusion and complete or displaced radius fractures were each associated with additional elbow fractures (P<0.001). When compared with initial interpretation, 25% of additional fractures were not identified on initial radiographs, of which 44% were occult retrospectively. Fracture identification demonstrated excellent inter-reader reliability (interclass correlation coefficient [ICC]: 0.88, 0.94), but joint effusion interobserver agreement was only fair (ICC: 0.52, 0.41). CONCLUSION:Proximal radius fractures in children often occur in association with other elbow fractures, most commonly involving the olecranon. Enhanced awareness of these fracture patterns, especially in the setting of joint effusion or complete and displaced radius fractures, may improve detection to guide appropriate management.
journal_name
Pediatr Radioljournal_title
Pediatric radiologyauthors
Degnan AJ,Ho-Fung VM,Nguyen JC,Barrera CA,Lawrence JTR,Kaplan SLdoi
10.1007/s00247-019-04445-xsubject
Has Abstractpub_date
2019-08-01 00:00:00pages
1177-1184issue
9eissn
0301-0449issn
1432-1998pii
10.1007/s00247-019-04445-xjournal_volume
49pub_type
杂志文章abstract：:We describe a radiographic sign of infantile hypertrophic pyloric stenosis. This sign, elicited during firm compression of the barium-coated pyloric region, is a round or avoid filling defect caused by the hypertrophied pyloric muscle protruding en face into the gastric lumen. This filling defect typically reveals a b...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/BF02019857
更新日期：1992-01-01 00:00:00
abstract：BACKGROUND:Newborns and small infants have shallow breathing. OBJECTIVE:To suggest criteria for when respiratory gating is necessary during cardiac MRI in newborns and infants. MATERIALS AND METHODS:One-hundred ten data sets of newborns and infants with (n = 92, mean age: 1.9 ± 1.7 [SD] years) and without (n = 18, me...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s00247-015-3346-4
更新日期：2015-09-01 00:00:00
abstract：:An otherwise healthy 11-month-old boy presented with bilateral abdominal masses. Imaging findings, differential diagnosis, histological findings, and pertinent discussion are presented. ...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s002470050197
更新日期：1997-07-01 00:00:00
abstract：:A 9-year-old boy was referred to the Oncology Department because of a thoracic soft-tissue mass thought to be a chest wall tumour. He had a history of grass inflorescence (Hordeum murinum) aspiration 2 weeks prior to this admission. On physical examination a tender soft-tissue mass under the right scapula and diminish...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s00247-005-0088-8
更新日期：2006-05-01 00:00:00
abstract：:Endobronchial carcinoid is an extremely rare neoplasm in children. We report a case in which this entity was prospectively diagnosed by 3-D CT bronchography with volume rendering techniques. The ability to prospectively implicate an endobronchial neoplasm in a child may help to guide subsequent therapy and management....
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s00247-004-1293-6
更新日期：2004-12-01 00:00:00
abstract：:The case of 6-year-old girl with an asymptomatic aneurysmal bone cyst of the acromion is reported. Such tumors are rarely located in the scapula and are especially rare in the acromion. The diagnosis was confirmed by biopsy and surgical resection of the lesion. Roentgenographic, CT and histologic features of the cyst ...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：
更新日期：1995-11-01 00:00:00
abstract：:Four patients between the ages of 2 and 20 years with malignant brain tumors were given several sonographic examinations, using an operative calvarial defect or sutural diastasis as an acoustic window. Three of our cases and 86% of cases with malignant brain tumors reported in the literature are echogenic, making poss...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/BF02388756
更新日期：1985-01-01 00:00:00
abstract：:Goiter secondary to amyloidosis is rare in clinical practice and only a few descriptions of its radiologic features have been reported. We present the ultrasound and MRI findings of thyroid amyloidosis in a 7-year-old Turkish boy with familial Mediterranean fever. ...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/BF02012155
更新日期：1993-01-01 00:00:00
abstract：:Osteopathia striata with cranial sclerosis (OS-CS) is a specific bone dysplasia manifested by hypertelorism, flat nasal bridge, frontal bossing, large head, hypoplastic maxilla, palate anomalies, chronic otitis media, hearing deficits, nasal obstruction, and neurological changes of deafness, facial palsy, ophthalmople...
journal_title：Pediatric radiology
pub_type： 杂志文章,评审
doi：10.1007/BF02017665
更新日期：1994-01-01 00:00:00
abstract：BACKGROUND:Traditionally, every patient with an acute scrotum needed surgical exploration for definitive exclusion of testicular torsion. OBJECTIVE:In this study, we aimed to evaluate the improved accuracy in clinical diagnosis with colour Doppler Ultrasonography (US) added to normal clinical assessment. MATERIALS AN...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s00247-005-1411-0
更新日期：2005-06-01 00:00:00
abstract：BACKGROUND:Fetal MRI can be performed in the second and third trimesters. During this time, the fetal brain undergoes profound structural changes. Interpretation of appropriate development might require comparison with normal age-based models. Consultation of a hard-copy atlas is limited by the inability to compare mul...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s00247-009-1411-6
更新日期：2010-02-01 00:00:00
abstract：:A retrospective study of the CT data of the brain was carried out in 48 newborns with neonatal subarachnoid hemorrhage. In addition to the posterior interhemispheric opacities generally accepted as an index of this type of bleeding, anterior interhemispheric, paravermian, cisternal and supratentorial hyperdensities mu...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/BF02012955
更新日期：1990-01-01 00:00:00
abstract：:Inflammatory bowel diseases (IBDs), including Crohn disease (CD) and ulcerative colitis (UC), often affect children and adolescents. Their diagnosis is based on the integration of clinical, biological, endoscopic, histological and radiological data. The paediatric radiologist may help the clinician in many ways. In ch...
journal_title：Pediatric radiology
pub_type： 杂志文章,评审
doi：10.1007/s00247-007-0573-3
更新日期：2007-11-01 00:00:00
abstract：BACKGROUND:While several studies have investigated the dose from scattered radiation from X-ray procedures in a pediatric nursery, they examined scatter from chest procedures only, or the types of examination were not specified. OBJECTIVE:The aim of this study was to collect scatter and transmission data from several ...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s00247-003-0999-1
更新日期：2003-10-01 00:00:00
abstract：:Narrow duplicated internal auditory canal (IAC) is a rare malformation of the temporal bone that is associated with ipsilateral congenital sensorineural hearing loss. This may be an isolated finding or a part of a syndrome. Radiological examination should demonstrate aplasia or hypoplasia of the neural components of t...
journal_title：Pediatric radiology
pub_type： 杂志文章,评审
doi：10.1007/s00247-005-1547-y
更新日期：2005-12-01 00:00:00
abstract：:We present a rare case of a broken umbilical artery catheter retrieved via a transumbilical approach with biopsy forceps. ...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：
更新日期：1995-11-01 00:00:00
abstract：BACKGROUND:It has been suggested that increased hepatic and intramuscular fat is associated with insulin resistance, and that increased pancreatic fat is related to impaired insulin secretion. OBJECTIVE:We postulated that in obese nondiabetic teenagers insulin levels would be directly related to increases in intramusc...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s00247-005-1413-y
更新日期：2005-06-01 00:00:00
abstract：:The diagnosis of an atypical pneumomediastinum in a newborn was confirmed by ultrasound where an echogenic rim of air was noted around the heart. Ultrasound is suggested as an alternative to a decubitus film in differentiating between a pneumomediastinum (which usually resolves spontaneously) and a medial pneumothorax...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/BF02013517
更新日期：1992-01-01 00:00:00
abstract：:Sonography was performed to visualize the nonossified tarsal navicular cartilage and to demonstrate talonavicular dislocation in a seven month old infant with congenital vertical talus. ...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/BF02010662
更新日期：1989-01-01 00:00:00
abstract：BACKGROUND:Laterality defects are quite common in thoracoileopagus and parapagus dicephalus but rare in other types of conjoined twins. OBJECTIVE:To present the presumed laterality defects in cephalothoracoileopagus and prosopothoracoileopagus conjoined twins, based on the unilateral or bilateral absence or duplicatio...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s00247-011-2316-8
更新日期：2012-06-01 00:00:00
abstract：:We present two cases of granulocytic sarcoma of the cervical lymph nodes with central necrosis as an initial manifestation of childhood leukaemia, focusing on the imaging features. Recognition of the CT and MR imaging findings of granulocytic sarcoma involving the cervical lymph nodes assists the differential diagnosi...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s00247-008-0748-6
更新日期：2008-06-01 00:00:00
abstract：BACKGROUND:In the setting of clinically suspected Legg-Calvé-Perthes (LCP) disease and negative/equivocal radiographs, contrast-enhanced MRI can be performed to confirm the diagnosis. OBJECTIVE:To determine the frequency of unexpected causes of hip pain as identified by MRI in children with clinically suspected LCP di...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s00247-010-1841-1
更新日期：2011-03-01 00:00:00
abstract：:The authors review their experience with transrectal drainage of pelvic abscesses in seven children and adolescents (6-16 years old). Initial access was guided by transrectal ultrasound with an endovaginal transducer followed by fluoroscopy for placement of self-retaining catheters (8.5-10 F) using the Seldinger techn...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/BF03178041
更新日期：1996-12-01 00:00:00
abstract：:Testicular teratoma is a rare tumor in children. We recently encountered two boys, aged 18 months and 2 years respectively, with this tumor. Sonography revealed an intratesticular mass in both. The first revealed a predominantly cystic lesion with echogenic components along its wall. The second showed a complex mass o...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/BF02011304
更新日期：1992-01-01 00:00:00
abstract：BACKGROUND:Spinal imaging has been a neglected part of abusive head trauma (AHT) imaging. As most of the radiographs and CT spine are negative in AHT in infants, the cervical spine is assumed to be normal. There is increasing evidence in the role of injury to brainstem and cervical cord in the pathogenesis of AHT. In a...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s00247-014-2959-3
更新日期：2014-09-01 00:00:00
abstract：:Pediatric cancers often have specific molecular fingerprints making them primary candidates for the development of targeted imaging techniques. Tumor-targeted tracers have the potential to substantially advance the sensitivity and specificity of imaging techniques by improving tumor detection and characterization. Thi...
journal_title：Pediatric radiology
pub_type： 杂志文章,评审
doi：10.1007/s00247-008-0878-x
更新日期：2008-11-01 00:00:00
abstract：BACKGROUND:Conventional MRI sequences are often affected in neuropediatric imaging by unavoidable movements. Therefore, children younger than 6 years usually have to be examined under sedation/anesthesia. A new real-time MRI technique with automatic slice advancement allows for motion-robust T2-weighted volume coverage...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s00247-020-04771-5
更新日期：2020-11-01 00:00:00
abstract：BACKGROUND:Pyeloplasty is an established treatment for pelviureteric junction (PUJ) obstruction. The postoperative change in the size of the renal pelvis and the kidney parenchyma are variable. OBJECTIVE:To document the changes in renal pelvic size and renal parenchymal thickness following pyeloplasty and to establish...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s002470050342
更新日期：1998-04-01 00:00:00
abstract：:Hydrostatic reduction of an ileocolic intussusception has not been reported when barium dissects around the intussusceptum as opposed to pushing it retrograde. Consequently, this development is considered an indication to discontinue hydrostatic reduction. We have studied a baby in whom draining the colon caused a see...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/BF02387971
更新日期：1986-01-01 00:00:00
abstract：:Up to now, the presence of elevated intracranial pressure (ICP) in acute neurological disorders is suspected by clinical and neuroimaging findings, but its verification depends on invasive techniques. Based on our experimental findings of rapid dilatation of human optic nerve sheaths (ONS), we investigated whether thi...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/BF01383384
更新日期：1996-10-01 00:00:00
