Related Experiment Videos
Neonatal transphyseal supracondylar fracture detected by ultrasound
Insights
Neonatal transphyseal fractures are hard to see on X-rays. Ultrasound and MRI successfully detected a case, with ultrasound recommended for emergency departments to screen for infant fractures.
Area of Science:
- Pediatric Radiology
- Neonatal Imaging
- Musculoskeletal Imaging
Background:
- Plain radiographs have limitations in detecting fractures involving the cartilaginous growth plate in young infants.
- Neonatal fractures, including transphyseal fractures, can be challenging to diagnose due to immature skeletal structures.
Observation:
- A case of neonatal transphyseal fracture is presented.
- The fracture was successfully detected using ultrasound and magnetic resonance imaging (MRI).
Findings:
- Ultrasound and MRI offer superior visualization of cartilaginous growth plate injuries compared to plain radiographs.
- These advanced imaging modalities are crucial for accurate diagnosis of neonatal fractures.
Implications:
- Shortened postnatal hospital stays increase the likelihood of birth injuries presenting in emergency departments.
- Ultrasound is recommended as the primary screening tool in emergency settings for suspected infant fractures.
- Early and accurate diagnosis of neonatal fractures is essential for appropriate management and to prevent long-term complications.
Abstract:
Fractures in young infants are often difficult to detect on plain radiographs when they involve the cartilaginous growth plate. We report a case of a neonatal transphyseal fracture which was detected by the use of ultrasound and magnetic resonance imaging. With shortened postnatal hospitalization becoming increasingly common, these and other birth injuries are more likely to present for the first time in the emergency department. The authors recommend the use of ultrasound as the screening modality of choice in the emergency department.