Jadhav Siddharth P, Swischuk Leonard E
Department of Radiology, The University of Texas Medical Branch, Galveston, TX 77555, USA.
Emerg Radiol. 2008 Nov;15(6):391-8. doi: 10.1007/s10140-008-0733-2. Epub 2008 May 28.
Children are distinctive as compared to adults when it comes to musculoskeletal injuries. This is due to the relative elasticity of bones and the presence of epiphyseal plates. There are many subtle injuries which will be missed if the radiologist is not aware of them and is not actively searching for them. The common elusive injuries include: (1) plastic bending fractures, (2) sternoclavicular dislocation, (3) epiphyseal-metaphyseal injuries in older child, (4) buckle fractures, and (5) Toddler fracture types I and II. Detection of these injuries needs an accurate history, a good physical examination, and, in particular, a thorough search by the radiologist. In many cases, it is the radiologist who suggests likelihood of the injury and guides management. In this respect, the use of comparative views and, in some cases, additional imaging is warranted. Here, we review the elusive musculoskeletal injuries in children in pictorial form.
在肌肉骨骼损伤方面，儿童与成人相比具有独特性。这是由于骨骼的相对弹性和骨骺板的存在。如果放射科医生没有意识到并积极寻找，许多细微的损伤将会被漏诊。常见的易漏诊损伤包括：（1）塑性弯曲骨折，（2）胸锁关节脱位，（3）大龄儿童的骨骺-干骺端损伤，（4）青枝骨折，以及（5）幼儿I型和II型骨折。这些损伤的检测需要准确的病史、良好的体格检查，尤其是放射科医生进行全面的检查。在许多情况下，是放射科医生提示损伤的可能性并指导治疗。在这方面，使用对比视图以及在某些情况下进行额外的影像学检查是必要的。在此，我们以图文形式回顾儿童易漏诊的肌肉骨骼损伤。
