Relevant bibliographies by topics / Children Occult Elbow Fractures

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  1. Journal articles
  2. Dissertations / Theses
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  4. Book chapters
  5. Conference papers

Academic literature on the topic 'Children Occult Elbow Fractures'

Author: Grafiati
Published: 4 June 2025
Last updated: 23 June 2025

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Journal articles on the topic "Children Occult Elbow Fractures"

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Pudas, T., T. Hurme, K. Mattila, and E. Svedström. "Magnetic resonance imaging in pediatric elbow fractures." Acta Radiologica 46, no. 6 (2005): 636–44. http://dx.doi.org/10.1080/02841850510021643.

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Purpose: Magnetic resonance imaging (MRI) evaluation of pediatric elbow trauma with or without a visible fracture on radiography. Material and Methods: MRI was performed in the acute phase in 25 children with an elbow injury. Nine patients with an elbow effusion only on radiographs and 16 with a fracture or luxation seen on radiographs underwent subsequent MRI. No sedation was used. Results: MRI revealed eight occult fractures (89%) in seven out of nine patients who had only an effusion on radiographs. Based on MRI findings, septic arthritis was suspected in one patient. Two patients out of five with a supracondylar fracture on the radiograph had a cartilage lesion in the humerus. MRI depicted a 3-mm gap on the articular surface in two patients with a lateral condyle fracture, a more accurate fracture location in two patients than the radiographs, and an additional occult fracture in two patients. MRI showed a fracture not seen on radiographs in two of three patients with prior luxation. Conclusion: MRI is a sensitive and accurate method in the diagnosis of pediatric elbow injuries, especially when only an effusion is present on radiographs. Occult fractures are more common in pediatric patients with elbow injury than reported earlier.
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Zhou, Shuya. "The X-ray Diagnosis and Signs Analysis of Occult Elbow Fractures in Children." International Journal of Sciences Volume 9, no. 2020-06 (2020): 19–20. https://doi.org/10.5281/zenodo.3980101.

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Objective: The purpose of this study was to investigate the X-ray diagnosis and signs analysis of children with occult elbow fractures, so as to make a basis for clinical judgment. Methods: A retrospective analysis was conducted on 60 patients with elbow injury admitted to Qingdao affiliated hospital from June 2017 to November 2018, and no fractures were found in any of the 60 patients during the first X-ray examination. According to the bone conditions, the patients were divided into study group with occult elbow fractures and control group without it, with 30 cases in each group. Results: The author found that the rates of cortical humeral collicular protuberance, cortical depression, positive rate of fat pad, positive rate of humerus front, and trabecular disruption in the study group were significantly higher than those in the control group, and the differences were statistically significant (P < 0.05). Conclusion: For children with occult elbow fractures, X-ray diagnosis can effectively determine obvious symptoms, which is conductive to clinical judgment and detection, and thus is worthy of clinical promotion and application.Read Complete Article at ijSciences: V92020052342 AND DOI: http://dx.doi.org/10.18483/ijSci.2342
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Ackermann, Ole, Jörg Simanowski, and Kolja Eckert. "Fracture Ultrasound of the Extremities." Ultraschall in der Medizin - European Journal of Ultrasound 41, no. 01 (2020): 12–28. http://dx.doi.org/10.1055/a-1023-1782.

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AbstractFracture ultrasound has increasingly come into the focus of international research. A growing number of original articles and a meta-analysis show that wrist fractures can be diagnosed without X-ray in children up to 12 years. Further original publications state that elbow fractures can be ruled out by exclusion of intraarticular effusion and in proximal humerus fractures the number of X-rays is reduced by about 50 %, while the quality of diagnosis is improved. Screening for occult fractures is another good indication. Clavicle fractures, and ac-joint sprains can be diagnosed better with US than with X-rays. A number of research groups have contributed valuable research about the different indications. The aim of this paper is to give an overview of the basics and actual fields of application for fracture ultrasound of the extremities.
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Zhou, Shuya. "The X-ray Diagnosis and Signs Analysis of Occult Elbow Fractures in Children." International Journal of Sciences 9, no. 06 (2020): 19–20. http://dx.doi.org/10.18483/ijsci.2342.

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SKAGGS, DAVID L., and RAFFY MIRZAYAN. "The Posterior Fat Pad Sign in Association with Occult Fracture of the Elbow in Children*†." Journal of Bone & Joint Surgery 81, no. 10 (1999): 1429–33. http://dx.doi.org/10.2106/00004623-199910000-00007.

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Lee, Dae-Hee, Seung-Beom Han, Jong-Hoon Park, Si-Young Park, Woong-Kyo Jeong, and Soon-Hyuck Lee. "Elbow arthrography in children with an ulnar fracture and occult subluxation of the radial head." Journal of Pediatric Orthopaedics B 20, no. 4 (2011): 257–63. http://dx.doi.org/10.1097/bpb.0b013e3283474292.

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Donnelly, Lane F. "Traumatic Elbow Effusions in Children Are Not Synonymous with Occult Fracture—Even with Evaluation by MR Imaging." American Journal of Roentgenology 179, no. 2 (2002): 531–32. http://dx.doi.org/10.2214/ajr.179.2.1790531.

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Poppelaars, Maximiliaan A., Denise Eygendaal, Bertram The, Iris van Oost, and Christiaan J. A. van Bergen. "Diagnosis and Treatment of Children with a Radiological Fat Pad Sign without Visible Elbow Fracture Vary Widely: An International Online Survey and Development of an Objective Definition." Children 9, no. 7 (2022): 950. http://dx.doi.org/10.3390/children9070950.

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Children often present at the emergency department with a suspected elbow fracture. Sometimes, the only radiological finding is a ‘fat pad sign’ (FPS) as a result of hydrops or haemarthros. This sign could either be the result of a fracture, or be due to an intra-articular haematoma without a concomitant fracture. There are no uniform treatment guidelines for this common population. The aims of this study were (1) to obtain insight into FPS definition, diagnosis, and treatment amongst international colleagues, and (2) to identify a uniform definition based on radiographic measurements with optimal cut-off points via a receiver operating characteristic (ROC) curve. An online international survey was set up to assess the diagnostic and treatment strategies, criteria, and definitions of the FPS, the probability of an occult fracture, and the presence of an anterior and/or posterior FPS on 20 radiographs. Additionally, the research team performed radiographic measurements to identify cut-off values for a positive FPS, as well as test–retest reliability and inter-rater reliability via intraclass correlation coefficients (ICC). A total of 133 (paediatric) orthopaedic surgeons completed the survey. Definitions, further diagnostics, and treatments varied considerably amongst respondents. Angle measurements of the fat pad as related to the humeral axis line showed the highest reliability (test–retest ICC, 0.95 (95% CI 0.88–0.98); inter-rater ICC, 0.95 (95% CI 0.91–0.98)). A cut-off angle of 16° was defined a positive anterior FPS (sensitivity, 1.00; specificity, 0.87; accuracy, 99%), based on the respondents’ assessment of the radiographs in combination with the research team’s measurements. Any visible posterior fat pad was defined as a positive posterior FPS. This study provides insight into the current diagnosis and treatment of children with a radiological fat pad sign of the elbow. A clear, objective definition of a positive anterior FPS was identified as a ≥16° angle with respect to the anterior humeral line.
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OUDJHANE, KAMALDINE, BEVERLEY NEWMAN, KOOK SANG OH, LIONEL W. YOUNG, and BERTRAM R. GIRDANY. "Occult Fractures In Preschool Children." Journal of Trauma: Injury, Infection, and Critical Care 28, no. 6 (1988): 858–60. http://dx.doi.org/10.1097/00005373-198806000-00027.

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Sponseller, Paul D. "PROBLEM ELBOW FRACTURES IN CHILDREN." Hand Clinics 10, no. 3 (1994): 495–505. http://dx.doi.org/10.1016/s0749-0712(21)01185-9.

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Dissertations / Theses on the topic "Children Occult Elbow Fractures"

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Kraynov, Liliya. "Variability in the Interpretation of Elbow Fractures in Children." Thesis, The University of Arizona, 2016. http://hdl.handle.net/10150/603633.

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A Thesis submitted to The University of Arizona College of Medicine - Phoenix in partial fulfillment of the requirements for the Degree of Doctor of Medicine.<br>Background and Significance The first physician to encounter a child with an elbow fracture is usually the emergency medicine (EM) physician. Many hospitals may not have access to immediate orthopedic consultation or “real-time” radiology reads, therefore, EM physicians have a great responsibility for an accurate diagnosis. Unfortunately, many EM physicians have little training in pediatric orthopedic injuries. The elbow's anatomy and radiographic features of the growing elbow increase the difficulty in determining an accurate diagnosis and proper treatment. Inaccurate interpretation of elbow fractures in children may lead to unnecessary or improper medical decisions. Accurate interpretation is especially important in rural settings where patients may need transportation to facilities with higher levels of care. Research Question This study aims to survey EM physicians and determine if certain elbow fractures are diagnosed inaccurately more frequently and if some physician characteristics share a relationship with the accuracy of diagnosis of pediatric fractures. The characteristics include area of specialization, annual ED volume, years of experience post residency training, and working in an academic versus non-academic department. Different types of fractures, including type 1 supracondylar, type 2 supracondylar, type 3 supracondylar, medial epicondyle, lateral epicondyle, and olecranon along with uninjured elbows were evaluated to determine if a particular type was misdiagnosed more frequently. Methods A 16-question multiple-choice paper survey was distributed to physicians working in academic and non-academic centers within adult or pediatric emergency departments. Questions included radiographs and asked the physician to determine which fracture existed, if any.Results Lateral epicondyle fractures were the most likely fractures to be misdiagnosed (22.12%), while type 3 supracondylar fractures were the most likely to be accurately diagnosed (95.5%). There was no significant difference in accuracy of diagnosis based on physicians working either in an academic department, non-academic department, or both. Those physicians who were board certified or board eligible in two or more specialties had a higher mean percent correct, as well as those who worked in pediatric emergency medicine. Conclusions While this study served to start clarifying the most frequently misdiagnosed pediatric fractures and whether physicians with particular characteristics were more likely to diagnose fractures accurately, further steady is necessary to draw a definitive conclusion. This study does shed light on which pediatric elbow fractures physicians misdiagnose more frequently. It is important for all emergency medicine physicians to keep in mind the types of fractures that are most commonly misdiagnosed as it can affect medical decision-making. This is an area where additional education about elbow fractures in the developing pediatric elbow may be needed.
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Books on the topic "Children Occult Elbow Fractures"

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Böstman, O. M. Absorbable implants for fracture fixation. Oxford University Press, 2011. http://dx.doi.org/10.1093/med/9780199550647.003.012016.

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♦ Use of absorbable fracture fixation devices eliminates hardware removal procedures♦ Of the macromolecular biodegradable compounds, suited for the manufacturing of these implants, polylactide is the most widely used♦ Small-fragment intra-articular fractures, especially at the elbow and at the ankle, are the most rewarding clinical applications♦ Absorbable implants can be inserted through articular surfaces and, in children, also transphyseally♦ Mechanical failures of the implants and redisplacements of fractures are rare, but local, transient inflammatory foreign-body reactions occurr♦ In certain intra-articular applications the absorbable fixation devices are superior to metallic ones.
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Chell, J. Fractures about the elbow in children. Oxford University Press, 2011. http://dx.doi.org/10.1093/med/9780199550647.003.014005.

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♦ Fractures around the elbow are a common occurrence in childhood♦ Closed fracture reduction is best supplemented with percutaneous wires♦ Damage to nerves and vessels (less common) are associated with these fractures♦ The index of suspicion for compartment syndrome should always be high♦ The transcondylar fracture has a high association with non-accidental injury.
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Book chapters on the topic "Children Occult Elbow Fractures"

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Hariharan, Arun, and Joshua M. Abzug. "Proximal Radius Fractures in Children." In Pediatric Elbow Fractures. Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-68004-0_10.

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Hennrikus, William P., David G. Fanelli, Zachary P. Winthrop, and William L. Hennrikus. "Acute Monteggia Fractures in Children." In Pediatric Elbow Fractures. Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-68004-0_13.

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Bruce, W. David, and Hugh P. Brown. "Supracondylar Fractures of the Humerus in Children." In Operative Treatment of Elbow Injuries. Springer New York, 2002. http://dx.doi.org/10.1007/0-387-21533-6_21.

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Bhatia, Deepak N. "Arthroscopic Fixation of Radial Neck Fractures in Children." In Arthroscopy and Endoscopy of the Elbow, Wrist and Hand. Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-79423-1_24.

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Bauer, Matthew R., and Rachel Y. Goldstein. "Medial Epicondyle Fractures, Elbow Dislocations, and Transphyseal Separations in Children." In The Pediatric Upper Extremity. Springer New York, 2023. http://dx.doi.org/10.1007/978-1-4614-8758-6_54-2.

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Wardrope, Jim, and Bryan English. "The elbow joint." In Musculo-skeletal problems in emergency medicine. Oxford University PressNew York, NY, 1998. http://dx.doi.org/10.1093/oso/9780192628633.003.0007.

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Abstract The joints of the elbow (including the proximal radioulnar joint) have strong ligaments. The main movements of the elbow joint are flexion and extension while forearm pronation and supination occur at the radioulnar joints.TraumaFractures are common but may be hard to detect on X-ray leading to a misdiagnosis of a soft-tissue injury. (Especially radial head fractures and children’s fractures.)The presence of a traumatic effusion within the elbow joint often indicates an occult fracture.
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Fernandez, David, Bindu N. Setty, and Isabel A. Barata. "FOOSHING through the Snow . . ." In Pediatric Emergency Radiology. Oxford University PressNew York, 2023. http://dx.doi.org/10.1093/med/9780197628553.003.0013.

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Abstract Supracondylar fractures are one of the most common pediatric fractures. They occur in children between the ages of 5 and 7 years after a fall on an outstretched hand with the elbow in extension (FOOSH). However, a small percentage occur from landing directly onto a flexed elbow. The hallmark feature is elbow pain and refusal to move the elbow. Proper and thorough physical exam is needed to evaluate for neurovascular injury. Ultimately, the diagnosis is made by an adequately obtained anteroposterior (AP) and lateral radiograph of the elbow. Management varies depending on the degree of displacement (Gartland classification).
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Vrettos, Basil C., and Eduard B. Hoffman. "Condylar Fractures in Children." In Operative Elbow Surgery. Elsevier, 2012. http://dx.doi.org/10.1016/b978-0-7020-3099-4.00010-2.

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Murray, Alastair W., and James Robb. "Supracondylar Fractures of the Humerus in Children." In Operative Elbow Surgery. Elsevier, 2012. http://dx.doi.org/10.1016/b978-0-7020-3099-4.00008-4.

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Green, Neil E., and Nathan L. Van Zeeland. "Fractures and Dislocations About the Elbow." In Skeletal Trauma in Children. Elsevier, 2009. http://dx.doi.org/10.1016/b978-1-4160-4900-5.10009-3.

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Conference papers on the topic "Children Occult Elbow Fractures"

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Rinaldi, John M., and William L. Hennrikus. "Are Supracondylar Fractures of the Elbow in Children Caused by Child Abuse?" In Selection of Abstracts From NCE 2016. American Academy of Pediatrics, 2018. http://dx.doi.org/10.1542/peds.141.1_meetingabstract.300.

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