PDF herunterladen
Semin Musculoskelet Radiol 2013; 17(04): 359-370
DOI: 10.1055/s-0033-1356465
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

What Is Different in Children?

Leonard E. Swischuk
1   Department of Radiology, The University of Texas Medical Branch, Galveston, Texas
› Institutsangaben
Weitere Informationen

Publikationsverlauf

Publikationsdatum:
07. Oktober 2013 (online)

Auch verfügbar auf
    Lizenzen und Reprints

Abstract

The bones of infants and children are soft and so they tend to buckle and bend rather than frankly break. In addition, to accommodate growth, epiphyseal plates exist. These areas represent weak zones in the long bones and shearing/twisting forces cause fractures. All of this results in fractures different than what one sees in adults and this communication deals with how to identify these fractures, how to appreciate the more subtle of these fractures, and how to utilize comparative views for the subtle cases.

Keywords

fractures - subtle findings - children
 

  • References

  • 1 Swischuk LE. Comparative views in the childhood fractures. Emerg Radiol 1997; 4: 2
    CrossrefPubMedGoogle Scholar
  • 2 Hernandez JA, Swischuk LE, Yngve DA, Carmichael KD. The angled buckle fracture in pediatrics: a frequently missed fracture. Emerg Radiol 2003; 10 (2) 71-75
    CrossrefPubMedGoogle Scholar
  • 3 John SD, Moorthy CS, Swischuk LE. Expanding the concept of the toddler's fracture. Radiographics 1997; 17 (2) 367-376
    PubMedGoogle Scholar
  • 4 Johnson GF. Pediatric Lisfranc injury: “bunk bed” fracture. AJR Am J Roentgenol 1981; 137 (5) 1041-1044
    CrossrefPubMedGoogle Scholar
  • 5 Swischuk LE, John SD, Tschoepe EJ. Upper tibial hyperextension fractures in infants: another occult toddler's fracture. Pediatr Radiol 1999; 29 (1) 6-9
    CrossrefPubMedGoogle Scholar
  • 6 Tschoepe EJ, John SD, Swischuk LE. Tibial fractures in infants and children: emphasis on subtle injuries. Emerg Radiol 1998; 5: 245-252
    CrossrefPubMedGoogle Scholar
  • 7 Boyer RS, Jaffe RB, Nixon GW, Condon VR. Trampoline fracture of the proximal tibia in children. AJR Am J Roentgenol 1986; 146 (1) 83-85
    CrossrefPubMedGoogle Scholar
  • 8 Hernandez JA, Swischuk LE, Bathurst GJ , et al. Scaphoid (navicular) fractures of the wrist in children: attention to the plastic bending fractures. Emerg Radiol 2003; 9 (6) 305-308
    PubMedGoogle Scholar
  • 9 Pinckney LE, Currarino G, Kennedy LA. The stubbed great toe: a cause of occult compound fracture and infection. Radiology 1981; 138 (2) 375-377
    PubMedGoogle Scholar
  • 10 Liebling MS, Berdon WE, Ruzal-Shapiro C, Levin TL, Roye Jr D, Wilkinson R. Gymnast's wrist (pseudorickets growth plate abnormality) in adolescent athletes: findings on plain films and MR imaging. AJR Am J Roentgenol 1995; 164 (1) 157-159
    CrossrefPubMedGoogle Scholar
  • 11 Borden IV S. Roentgen recognition of acute plastic bowing of the forearm in children. Am J Roentgenol Radium Ther Nucl Med 1975; 125 (3) 524-530
    CrossrefPubMedGoogle Scholar
  • 12 Crowe JE, Swischuk LE. Acute bowing fractures of the forearm in children: a frequently missed injury. AJR Am J Roentgenol 1977; 128 (6) 981-984
    CrossrefPubMedGoogle Scholar
  • 13 Mabrey JD, Fitch RD. Plastic deformation in pediatric fractures: mechanism and treatment. J Pediatr Orthop 1989; 9 (3) 310-314
    CrossrefPubMedGoogle Scholar
  • 14 Swischuk LE. Musculoskeletal: what's different in children? Playing on the couch, fell from couch, favoring left upper extremity. Emerg Radiol 2010; 17 (3) 203-204
    CrossrefPubMedGoogle Scholar
  • 15 Rogers LF, Malave Jr S, White H, Tachdjian MO. Plastic bowing, torus and greenstick supracondylar fractures of the humerus: radiographic clues to obscure fractures of the elbow in children. Radiology 1978; 128 (1) 145-150
    PubMedGoogle Scholar
  • 16 Holbein O, Bauer G, Kinzl L. Fracture of the cuboid in children: case report and review of the literature. J Pediatr Orthop 1998; 18 (4) 466-468
    PubMedGoogle Scholar
  • 17 Blumberg K, Patterson RJ. The toddler's cuboid fracture. Radiology 1991; 179 (1) 93-94
    PubMedGoogle Scholar
  • 18 Stansberry SD, Swischuk LE, Swischuk JL, Midgett TA. Significance of ulnar styloid fractures in childhood. Pediatr Emerg Care 1990; 6 (2) 99-103
    CrossrefPubMedGoogle Scholar
  • 19 Dunbar JS, Owen HF, Nogrady MB, McLeese R. Obscure tibial fracture of infants—the toddler's fracture. Can J Assoc Radiol 1964; 15: 136-144
    PubMedGoogle Scholar