Ling Shi-Neng James, Cleary Aidan J
Department of Orthopaedics, Logan Hospital, Meadowbrook, QLD, Australia.
Department of Orthopaedics, Redlands Hospital, Cleveland, QLD, Australia.
Radiol Res Pract. 2018 Mar 1;2018:5143639. doi: 10.1155/2018/5143639. eCollection 2018.
Torus or buckle distal radius fractures are common injuries in the pediatric population. By definition, they are stable and can be treated conservatively with a wrist splint or soft crepe bandage. The objective of this study was to evaluate the utility of serial radiographs in the clinical outcome of children with stable distal radius buckle fractures. A one-month retrospective analysis was undertaken at two major hospitals in Queensland-Logan and Redlands Hospital. Statistical analysis was performed to identify any relationships between serial radiographs and certain demographic parameters including fracture characteristics, age, sex, and limb side. Of the 136 patients, 50% had more than one radiograph series taken. A total of 576 single radiographs and 251 radiograph series were taken. All fractures healed without complications and did not require active intervention. There was a statistically significant relationship ( = 0.0015) between fracture angulation and multiple radiographs series. A cost analysis revealed $55,890 per year could be saved by not performing serial radiographs. Serial radiographs did not appear to change the excellent clinical outcome for children with distal radius buckle fractures. There is a potential to reduce costs and prevent unnecessary ionizing radiation exposure to children.
桡骨远端骨皮质增厚或扣状骨折是儿童群体中的常见损伤。根据定义，它们是稳定的，可用腕部夹板或软绉布绷带进行保守治疗。本研究的目的是评估系列X线片对桡骨远端稳定型扣状骨折患儿临床结局的作用。在昆士兰州的两家主要医院——洛根医院和雷德兰兹医院进行了为期一个月的回顾性分析。进行统计分析以确定系列X线片与某些人口统计学参数之间的关系，这些参数包括骨折特征、年龄、性别和肢体侧别。在136例患者中，50%拍摄了不止一个系列的X线片。共拍摄了576张单张X线片和251个系列的X线片。所有骨折均愈合且无并发症，无需积极干预。骨折成角与多个系列X线片之间存在统计学显著关系（P = 0.0015）。成本分析显示，不进行系列X线片检查每年可节省55,890美元。系列X线片似乎并未改变桡骨远端扣状骨折患儿的良好临床结局。有可能降低成本并防止儿童受到不必要的电离辐射。
