Arthrography in the diagnosis of fractures of the distal end of the humerus in infants
Akbarnia, B.A.; Silberstein, M.J.; Rende, R.J.; Graviss, E.R.; Luisiri, A.
Journal of Bone and Joint Surgery. American Volume 68(4): 599-602
1986
ISSN/ISBN: 0021-9355 PMID: 3957985 Document Number: 278375
Single-contrasted 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.