Diagnostic imaging in pediatric trauma

Current Opinion in Pediatrics

Volumn 10, Issue 3, 1998, Pages 299-302

  Grasso, Susanne N ^a   Keller, Marc S ^a  

^a YALE UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ABDOMINAL BLUNT TRAUMA; ABDOMINAL INJURY; ANATOMICAL VARIATION; CERVICAL SPINE RADIOGRAPHY; COMPUTER ASSISTED TOMOGRAPHY; DIAGNOSTIC ACCURACY; DIAGNOSTIC IMAGING; DIAGNOSTIC VALUE; ECHOGRAPHY; HEAD INJURY; HEMATURIA; HUMAN; NECK INJURY; NUCLEAR MAGNETIC RESONANCE IMAGING; PERICARDIUM; PLEURA FLUID; PRIORITY JOURNAL; SHORT SURVEY; SKULL FRACTURE; SKULL RADIOGRAPHY; THORAX INJURY; THORAX RADIOGRAPHY;

ABDOMINAL INJURIES; CHILD; CRANIOCEREBRAL TRAUMA; CRITICAL CARE; DIAGNOSTIC IMAGING; HUMANS; MAGNETIC RESONANCE IMAGING; NECK INJURIES; THORACIC INJURIES; TOMOGRAPHY, X-RAY COMPUTED; WOUNDS AND INJURIES;

EID: 0031716297     PISSN: 10408703     EISSN: None     Source Type: Journal    
DOI: 10.1097/00008480-199806000-00013     Document Type: Short Survey

References (20)

1. Lloyd DA, Carty H, Patterson M, Butcher CK, Roe D: Predictive value of skull radiography for intracranial injury in children with blunt head injury. Lancet 1996, 349:821-824.
2. Husson B, Pariente D, Tammam S, Zerah M: The value of MRI in the early diagnosis of growing skull fracture. Pediatr Radiol 1996, 26:744-747.
3. Bloom Al, Neeman Z, Floman Y, Gomori J, Bar-Ziv J: Occipital condyle fracture and ligament injury: imaging by CT. Pediatr Radiol 1996, 26:786-790.
4. Kriss VM, Kriss TC: Imaging of the cervical spine in infants. Pediatric Emergency Care 1996, 13:44-49. Review of normal developmental variants of the cervical spine in infants and small children that can be misinterpreted as pathologic. Discussion on technical factors, filming in flexion and in expiration, that may cause prominence of the prevertebral soft tissues that may falsely be interpreted as pathologic injury.
5. Feldman KW, Weinberger E, Milstein JM, Fligner CL: Cervical spine MRI in abused infants. Child Abuse Negl 1997, 21:199-205. Addresses the concern for unsuspected cervical spinal cord injury in abused infants with intracranial injury and no clinical evidence of cord abnormality with the use of MRI. No cervical cord injury was detected on MRI on all studied infants, including those infants who subsequently died and were found to have small extra-axial hemorrhages around the cervical cord at autopsy; thus, concluding that cervical spine MRI is not warranted in these infants.
6. Ma OJ, Mateer JR: Trauma ultrasound examination versus chest radiography in the detection of hemothorax. Ann Emerg Med 1997, 29:312-316.
7. Corbett SW, O'Callaghan T: Detection of traumatic complications of cardiopulmonary resuscitation by ultrasound. Ann Emerg Med 1997, 29:317-322.
8. Nordenholz KE, Rubin MA, Gularte GG, Liang HK: Ultrasound in the evaluation and management of blunt abdominal trauma. Ann Emerg Med 1997, 29:357-366.
9. Porter RS, Nester BA, Dalsey WC, O'Mara M, Gleeson T, Pennell R, Beyer FC: Use of ultrasound to determine need for laparotomy in trauma patients. Ann Emerg Med 1997, 29:323-330.
10. Taylor GA, Sivit CJ: Posttraumatic peritoneal fluid: is it a reliable indicator of intraabdominal injury in children? J Pediatr Surg 1995, 30:1644-1648.
11. Tsang BD, Panacek EA, Brant WE, Wisner DH: Effect of oral contrast administration for abdominal computed tomography in the evaluation of acute blunt trauma. Ann Emerg Med 1997, 30:7-13. Evaluation of the utility of enteric CT contrast is disclosing blunt abdominal trauma. Oral contrast was not essential in diagnosing liver and splenic injuries and extraluminal enteric CT contrast was not detected in any of the cases of intestinal perforation. The risks of vomiting and aspiration and delay in evaluation may outweigh any potential benefit.
12. Jamieson DH, Babyn PS, Pearl R: Imaging gastrointestinal perforation in pediatric blunt abdominal trauma. Pediatr Radiol 1996, 26:188-194. Review of surgically confirmed gastrointestinal perforation in the pediatric population over a 10 year period correlated with preoperative CT findings. Forty-seven percent of the CTs demonstrated extraluminal air. All perforations had at least one of several signs of bowel injury on CT, including extraluminal air, intraperitoneal fluid, bowel wall thickening, bowel enhancement and bowel dilation, but only a minority had all these signs.
13. Morey AF, Bruce JE, McAninch JW: Efficacy of radiographic imaging in pediatric blunt renal trauma. J Urol 1996, 156:2014-2018. Retrospective review of patients with microscopic hematuria after blunt abdominal trauma evaluated by excretory urography or abdominal CT. Only one out of 77 children had significant renal injury suggesting that emergency renal imaging is not indicated.
14. Ruess L, Sivit CJ, Eichelberger MR, Gotschall CS, Taylor GA: Blunt abdominal trauma in children: impact of CT on operative and nonoperative management. Am J Roentgenol 1997, 169:1011-1014. Prospective evaluation of 1500 children who sustained blunt abdominal trauma to determine the impact of CT on operative management. CT findings affected the decision for laparotomy in most of the cases of hollow viscus injury and in only a small number of cases of solid viscus injury. Overall, CT findings affected the decision for laparotomy in less than 2% of the cases.
15. Richardson MC, Hollman AS, Davis CF: Comparison of computed tomography and ultrasonographic imaging in the assessment of blunt abdominal trauma in children. Br J Surg 1997, 84:1144-1146. Comparison of CT with ultrasound in children with acute abdominal trauma. CT detected more organ specific injuries than ultrasound. CT was diagnostically superior in the multiply injured child, detecting not only the intraabdominal injuries, but also pelvic, spinal, and thoracic injuries.
16. Shoavi U, Mares AJ: Conservative approach to blunt hepatic and splenic trauma in childhood-experiences in the Pediatric Surgery Department, Soroka Hospital in the years 1980-1994. Harefuah 1996, 130:446-450.
17. Hasegawa T, Miki Y, Yoshioka Y, Mizutani S, Sasaki T, Sumimura J: Laparoscopic diagnosis of blunt abdominal trauma in children. Pediatr Surg Int 1997, 12:132-136.
18. Hill R, Conron R, Greissinger P, Heller M: Ultrasound for the detection of foreign bodies in human tissue. Ann Emerg Med 1997, 29:353-356.
19. Turner J, Wilde CH, Hughes KC, Meilstrup JW, Manders EK: Ultrasound-guided retrieval of small foreign objects in subcutaneous tissue. Ann Emerg Med 1997, 29:731-734.
20. Chisholm CD, Wood CD, Chua G, Cordell WH, Nelson DR: Radiographic detection of gravel in soft tissue. Ann Emerg Med 1997, 29:725-730.