Courvoisier A, Calvelli N, Bourgeois E, Eid A, Griffet J
Département d'orthopédie pédiatrique, laboratoire TIMC-IMAG-SPM, CHU de Grenoble, université Grenoble Alpes, BP 217, 38043 Grenoble cedex 09, France.
Département d'orthopédie pédiatrique, laboratoire TIMC-IMAG-SPM, CHU de Grenoble, université Grenoble Alpes, BP 217, 38043 Grenoble cedex 09, France.
Arch Pediatr. 2016 Aug;23(8):869-74. doi: 10.1016/j.arcped.2016.05.013. Epub 2016 Jun 23.
Elbow injuries are frequent but occult fractures are difficult to diagnose on x-rays. However, any delay in the diagnosis may severely impair the prognosis of some fractures. Simple tips may help the clinician read x-rays properly and avoid the classical pitfalls of elbow injuries in children. The chronology of appearance of ossification nuclei around the elbow is important to distinguish normal features from abnormality. Drawing simple geometric constructions on the x-rays may clarify most occult elbow fractures in children.
肘部损伤很常见，但隐匿性骨折在X射线下很难诊断。然而，诊断上的任何延迟都可能严重损害某些骨折的预后。一些简单的技巧可能有助于临床医生正确解读X射线，避免儿童肘部损伤的常见误诊陷阱。肘部周围骨化核出现的时间顺序对于区分正常特征与异常情况很重要。在X射线上绘制简单的几何结构可能有助于明确大多数儿童隐匿性肘部骨折。
