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Pediatric emergency care · Feb 2021
Point-of-Care Ultrasound Used to Diagnose Sternal Fractures Missed by Conventional Imaging.
- Paul Adeeb Khalil, Carleigh Benton, and Amanda Greene Toney.
- From the Denver Health Medical Center, University of Colorado, Aurora, CO.
- Pediatr Emerg Care. 2021 Feb 1; 37 (2): 106107106-107.
AbstractSternal fractures have often been associated with high-impact thoracic trauma. In children, this is not always the case. X-ray and even computed tomography can miss subtle sternal fractures. Point-of-care ultrasound has been shown to be more sensitive and specific for detecting subtle sternal fractures as compared with plain X-ray. The following 2 cases describe sternal fractures that were missed by traditional imaging modalities, including a fracture missed by chest computed tomography. They also highlight other potential causative mechanisms for sternal fractures in children, including hyperflexion injuries and low-mechanism motor vehicle accidents.Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.
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