Arthrography in the diagnosis of fractures of the distal end of the
humerus in infants. Akbarnia BA. Silberstein MJ. Rende RJ. Graviss ER. Luisiri A. Journal of Bone & Joint Surgery - American Volume.68(4):599-602, 1986 Apr. Single-contrast arthrography was performed in six infants who had an injury to the elbow because the exact nature of the injury was uncertain from interpretation of the plain radiographs and clinical findings. A correct diagnosis was made in all six patients, and it significantly altered the treatment in five. Four lesions were a Salter-Harris Type-I fracture and two were a Salter-Harris Type-II fracture. Three patients had a closed reduction, two required no reduction, and one had an open reduction. Child abuse of two infants was confirmed, and it was suspected in another two.
Original Text by Clifford R. Wheeless, III, MD.
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