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Is CT useful in the traumatized pediatric elbow?
J G Blickman1, R W Dunlop, C F Sanzone
1Section of Pediatric Radiology, Boston City Hospital, MA.
Pediatric Radiology
|January 1, 1990
Summary
Radiographic criteria for adult elbow CT scans are not useful for pediatric elbow trauma. Computed tomography (CT) evaluation does not alter treatment plans based on clinical findings and standard X-rays in children.
Area of Science:
- Pediatric Orthopedics
- Radiology
- Trauma Imaging
Background:
- Six radiographic criteria for adult elbow trauma were recently established to guide the use of computed tomography (CT).
- Application of these criteria to pediatric elbow trauma cases has not been previously evaluated.
Purpose of the Study:
- To assess the utility of the six established radiographic criteria in determining the need for CT in pediatric elbow trauma.
- To evaluate whether CT imaging changes management in pediatric elbow trauma cases.
Main Methods:
- Retrospective review of 10 pediatric elbow trauma cases.
- Application of the six previously defined radiographic criteria to these cases.
- Comparison of CT findings and recommendations with clinical and conventional radiography assessments.
Main Results:
- The six radiographic criteria were applied to pediatric elbow trauma cases.
- Computed tomography (CT) evaluation did not alter the therapeutic management determined by clinical assessment and conventional radiography.
Conclusions:
- The previously established radiographic criteria for adult elbow trauma are not directly applicable or beneficial for guiding CT use in pediatric elbow trauma.
- CT imaging does not change clinical decision-making or treatment for pediatric elbow injuries when initial radiography and clinical evaluation are performed.