Pediatric emergency care
-
The Ottawa Ankle Rules (OAR) are criteria for predicting ankle fractures in adults allowing for insignificant fractures, defined as small avulsion fractures. Because the clinical significance of avulsion fractures and Salter-Harris type I fractures in children is unclear, we sought to prospectively evaluate the use of the OAR in children and to determine whether different criteria should be used for predicting ankle fractures in children. ⋯ The OAR cannot be applied to children with the same sensitivity as adults.
-
Pediatric emergency care · Feb 2003
Review Case ReportsAcute hematogenous osteomyelitis of the pelvis in childhood: Diagnostic clues and pitfalls.
Acute hematogenous osteomyelitis (AHOM) of the pelvis is a rare form of childhood osteomyelitis. Prompted by a recent case, we reviewed the 146 reported cases of pelvic AHOM published since 1966. Classical childhood AHOM of tubular bones usually occurs in older children (mean age, 8.1 y) as opposed to younger children (aged 2-5 y). ⋯ Such delays have resulted in a permanent disability in 3.4% of the cases. If diagnosed and treated promptly, uneventful recovery can be anticipated in all patients. This case history and review of the literature may facilitate early recognition of pelvic AHOM by primary care physicians, as well as by pediatric or orthopedic specialists.