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Radiographic timelines for pediatric healing fractures: a systematic review.
Pediatric Radiology ( IF 2.3 ) Pub Date : 2020-03-10 , DOI: 10.1007/s00247-020-04648-7
Diana L Messer 1, 2 , Brent H Adler 3, 4 , Farah W Brink 3, 5 , Henry Xiang 6 , Amanda M Agnew 2
Affiliation  

Skeletal fractures, a common injury in physically abused children, often go undetected and untreated for significant lengths of time and are sometimes incidentally discovered radiographically. Our objective was to review current literature for scientific studies of pediatric fracture healing with associated timelines. We conducted a search of Embase, EBSCOhost, MEDLINE (PubMed), and Web of Science for literature published from the earliest available up to August 2018. We evaluated the included articles for quality, with consideration for use in clinical and forensic settings. Of a total of 313 full-text articles evaluated, 10 met study inclusion criteria. The patient age range among studies was 0–17 years, with children younger than 1 year included in the majority of studies. The fracture locations included in studies were primarily fractures of the upper limb and pectoral girdle, followed by fractures of the lower limb. The radiographic features of healing varied greatly among the studies. Timelines of common fracture healing variables differed significantly among studies. Scientific, radiographic studies of pediatric fracture healing are limited. Gaps in knowledge regarding fracture healing highlight the need for future research and validation studies. Fracture healing timelines derived from existing timelines should be used with caution.



中文翻译:

儿科愈合性骨折的影像学时间表:系统评价。

骨骼骨折是受虐待儿童的常见伤害,通常在相当长的一段时间内未被发现和治疗,有时是通过射线照相偶然发现的。我们的目的是回顾与相关时间表有关的小儿骨折愈合科学研究的最新文献。我们对Embase,EBSCOhost,MEDLINE(PubMed)和Web of Science进行了检索,以查找最早可追溯至2018年8月的文献。我们评估了纳入的文章的质量,并考虑了在临床和法医环境中的使用。在评估的313篇全文文章中,有10篇符合研究纳入标准。研究中的患者年龄范围为0-17岁,大多数研究中包括1岁以下的儿童。研究中包括的骨折部位主要是上肢和胸带的骨折,其次是下肢的骨折。在研究之间,放射线的愈合特征差异很大。在研究之间,常见的骨折愈合变量的时间表存在显着差异。儿科骨折愈合的科学,放射学研究有限。关于骨折愈合的知识空缺突出了对未来研究和验证研究的需求。从现有时间表中得出的骨折愈合时间表应谨慎使用。儿科骨折愈合的影像学研究有限。关于骨折愈合的知识空缺突出了对未来研究和验证研究的需求。从现有时间表中得出的骨折愈合时间表应谨慎使用。儿科骨折愈合的影像学研究有限。关于骨折愈合的知识空缺突出了对未来研究和验证研究的需求。从现有时间表中得出的骨折愈合时间表应谨慎使用。

更新日期:2020-03-10
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