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Pediatric phalanx fractures: A retrospective study and review of the literature
PURPOSE: Conventional radiography is frequently performed in pediatric patients in whom finger fractures are suspected. However, until now, the rate of positive findings of finger radiographic examinations in pediatric patients is unknown. This study aimed to evaluate the number of positive findings...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9382712/ https://www.ncbi.nlm.nih.gov/pubmed/35992524 http://dx.doi.org/10.1177/18632521221106387 |
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author | Schizas, Stephanie Lutz, Nicolas Vardar, Elif Merckaert, Sophie Zambelli, Pierre-Yves Samara, Eleftheria |
author_facet | Schizas, Stephanie Lutz, Nicolas Vardar, Elif Merckaert, Sophie Zambelli, Pierre-Yves Samara, Eleftheria |
author_sort | Schizas, Stephanie |
collection | PubMed |
description | PURPOSE: Conventional radiography is frequently performed in pediatric patients in whom finger fractures are suspected. However, until now, the rate of positive findings of finger radiographic examinations in pediatric patients is unknown. This study aimed to evaluate the number of positive findings in the standard radiographic examinations of finger injuries in pediatric patients in a Level 1 trauma center systematically. METHODS: We conducted a retrospective study on all children 0–16 years old admitted for acute finger injury in the Emergency Department of a University Hospital during the first semester of 2019 and received a radiographic examination. Their demographic characteristics, fracture pattern, and treatment were then analyzed and interpreted. RESULTS: Out of 478 finger injuries reviewed in this cohort, 160 X-rays revealed positive for a fracture giving a fracture rate of 33.5%. More than half of them (51.9%) occurred in the age group of adolescents (11–16 years). Among all finger fractures, only 3.8% of them treated surgically. CONCLUSION: In this study, a relevant amount of standard finger radiographs revealed a low fracture rate and a rare operative indication of 3.8%. Therefore, indications for X-rays should be reviewed properly and alternative procedures should be discussed. Clinical decision rules should be developed and the necessary pathways must be implemented to minimize radiation exposure, waiting time, and costs. Level of evidence: level IV |
format | Online Article Text |
id | pubmed-9382712 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-93827122022-08-18 Pediatric phalanx fractures: A retrospective study and review of the literature Schizas, Stephanie Lutz, Nicolas Vardar, Elif Merckaert, Sophie Zambelli, Pierre-Yves Samara, Eleftheria J Child Orthop Trauma PURPOSE: Conventional radiography is frequently performed in pediatric patients in whom finger fractures are suspected. However, until now, the rate of positive findings of finger radiographic examinations in pediatric patients is unknown. This study aimed to evaluate the number of positive findings in the standard radiographic examinations of finger injuries in pediatric patients in a Level 1 trauma center systematically. METHODS: We conducted a retrospective study on all children 0–16 years old admitted for acute finger injury in the Emergency Department of a University Hospital during the first semester of 2019 and received a radiographic examination. Their demographic characteristics, fracture pattern, and treatment were then analyzed and interpreted. RESULTS: Out of 478 finger injuries reviewed in this cohort, 160 X-rays revealed positive for a fracture giving a fracture rate of 33.5%. More than half of them (51.9%) occurred in the age group of adolescents (11–16 years). Among all finger fractures, only 3.8% of them treated surgically. CONCLUSION: In this study, a relevant amount of standard finger radiographs revealed a low fracture rate and a rare operative indication of 3.8%. Therefore, indications for X-rays should be reviewed properly and alternative procedures should be discussed. Clinical decision rules should be developed and the necessary pathways must be implemented to minimize radiation exposure, waiting time, and costs. Level of evidence: level IV SAGE Publications 2022-08-02 2022-08 /pmc/articles/PMC9382712/ /pubmed/35992524 http://dx.doi.org/10.1177/18632521221106387 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Trauma Schizas, Stephanie Lutz, Nicolas Vardar, Elif Merckaert, Sophie Zambelli, Pierre-Yves Samara, Eleftheria Pediatric phalanx fractures: A retrospective study and review of the literature |
title | Pediatric phalanx fractures: A retrospective study and review of the
literature |
title_full | Pediatric phalanx fractures: A retrospective study and review of the
literature |
title_fullStr | Pediatric phalanx fractures: A retrospective study and review of the
literature |
title_full_unstemmed | Pediatric phalanx fractures: A retrospective study and review of the
literature |
title_short | Pediatric phalanx fractures: A retrospective study and review of the
literature |
title_sort | pediatric phalanx fractures: a retrospective study and review of the
literature |
topic | Trauma |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9382712/ https://www.ncbi.nlm.nih.gov/pubmed/35992524 http://dx.doi.org/10.1177/18632521221106387 |
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