Ruffing T, Arend G, Forster J, Winkler H, Muhm M
Klinik für Unfallchirurgie und Orthopädie 1, Westpfalz-Klinikum GmbH, Hellmut-Hartert-Straße 1, 67655, Kaiserslautern, Deutschland,
Unfallchirurg. 2015 Jul;118(7):607-14. doi: 10.1007/s00113-013-2527-6.
Adequate interpretation of radiographs of injured children and adolescents is key for appropriate treatment. For the purposes of structuring in-hospital education and training, conventional radiographs obtained in the emergency department (ED) should be analyzed.
A total of 10,232 radiographs of children and adolescents (0-17 years old) were analyzed retrospectively. Data was analyzed according to sex, age, time, radiograph, and type of insurance.
The male to female ratio was 3:2. In all, 76% of all radiographs were processed during on-call duty hours. Radiographs of the ankle were ordered most at a rate of 11%. Radiographs of the skull, wrist, finger, and ankle stood out from the sum of all radiographs and together accounted for 40%.
Radiographs of injured children are analyzed predominantly during on-call duty hours. Frequently mandated radiographs should be diagnosed accurately and standard injuries should be well known. Particular attention should be directed to the typical injury patterns of the ankle joint.
对受伤儿童和青少年的X光片进行充分解读是恰当治疗的关键。为了构建医院内的教育和培训体系，应对在急诊科（ED）获取的传统X光片进行分析。
对总共10232张儿童和青少年（0至17岁）的X光片进行回顾性分析。数据根据性别、年龄、时间、X光片及保险类型进行分析。
男女比例为3:2。总体而言，所有X光片中76%是在值班时间处理的。脚踝X光片的开具频率最高，为11%。颅骨、手腕、手指和脚踝的X光片在所有X光片中较为突出，总计占40%。
受伤儿童的X光片主要在值班时间进行分析。应准确诊断经常要求开具的X光片，并熟知标准损伤情况。尤其应关注踝关节的典型损伤模式。
