Pediatric radiology
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Pediatric radiology · Jan 2016
Multicenter StudyA clinical decision rule for the use of plain radiography in children after acute wrist injury: development and external validation of the Amsterdam Pediatric Wrist Rules.
In most hospitals, children with acute wrist trauma are routinely referred for radiography. ⋯ The decision model may be a valuable tool to decide whether radiography in children after wrist trauma is required.
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The three most common elbow fractures classically reported in pediatric orthopedic literature are supracondylar (50-70%), lateral condylar (17-34%), and medial epicondylar fractures (10%), with fractures of the proximal radius (including but not limited to fractures of the radial neck) being relatively uncommon (5-10%). Our experience at a large children's hospital suggests a different distribution. ⋯ Supracondylar fractures are the most frequent elbow fracture seen initially, followed by radial neck, lateral condylar, and olecranon fractures in a distribution different from what has been historically described. The relatively high frequency of olecranon fractures detected on follow-up speaks to their potentially occult nature. Careful attention to these areas is warranted in children with initially normal radiographs.
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Pediatric radiology · Jan 2016
Quantification of structural changes in the corpus callosumin children with profound hypoxic-ischaemic brain injury.
Birth-related acute profound hypoxic-ischaemic brain injury has specific patterns of damage including the paracentral lobules. ⋯ Focal volume loss is seen in the corpus callosum of children with hypoxic-ischaemic brain injury secondary to loss of commissural fibres arising in the paracentral lobules. Support vector machine stratification into the hypoxic-ischaemic brain injury group or the control group on the basis of corpus callosum width is highly accurate and points towards rapid clinical translation of this technique as a potential biomarker of hypoxic-ischaemic brain injury.