Features Partner Sites Information LinkXpress
Sign In
Advertise with Us
Ampronix

Pelvic X-Ray May Not Be Required for Children with Blunt Torso Trauma

By Medimaging International staff writers
Posted on 17 Aug 2014
Print article
Pelvic X-rays routinely ordered for children who have suffered blunt force trauma do not effectively detect all instances of pelvic fractures or dislocations and are typically unwarranted for patients for whom abdominal/pelvic computed tomography (CT) scanning is otherwise planned. A recent study raises misgivings on a protocol that has been recommended by the Advanced Trauma Life Support Program (ATLS), considered the gold standard for trauma patients.

“Abdominal/pelvic CT is a superior diagnostic test compared to plain anteroposterior pelvic X-rays for diagnosing children with pelvic fractures or dislocations,” said lead study author Maria Kwok, MD, MPH, from Columbia University Medical Center (New York, NY, USA). “Because of concerns about lifetime exposure to radiation in children, appropriate use of radiography is important. We just could not find enough accuracy or utility to justify the pelvic X-ray for most of these children.”

Plain pelvic radiographs had a sensitivity of only 78% for identifying patients with pelvic fractures or dislocations. Of the patients not accurately identified as having pelvic fractures or dislocations, 98% were correctly detected by abdominal/pelvic CT scans. Standard pelvic X-rays are helpful only for hemodynamically unstable patients and for hemodynamically stable patients who the physician believes may have dislocations or pelvic fractures but who are not otherwise undergoing abdominal/pelvic CT scanning.

The highest risk for dislocations or pelvis fractures included bicyclists or pedestrians struck by moving vehicles and injuries involving motor vehicle collisions. Low-level falls or bicycle accidents were seldom diagnosed with pelvic fractures or dislocations. None of the 281 patients in the study who fell down stairs were diagnosed with pelvic fractures or dislocations.

“CT scanning should not be used as a primary screening tool if no clinical evidence of pelvic fracture or dislocation exists,” said Dr. Kwok. “A physical examination and clinical judgment are still the first line in determining which patients need advanced imaging and which can safely skip it.”

The study’s findings were published online July 29, 2014, in the journal Annals of Emergency Medicine.

Related Links:

Columbia University Medical Center



Print article
Radcal

Channels

Nuclear medicine

view channel
Image: MRV tracing in a mouse thalamus (Photo courtesy of the Salk Institute for Biological Studies).

New Reagent Helps Map Neural Connections in Brain

An improved rabies virus tracer visualizes neural circuitry in the brain, helping to understand more about motor diseases and neurodevelopmental disorders. Researchers at the Salk Institute for Biological... Read more

General/Advanced Imaging

view channel

Early Intervention with Stent Retrievers Improves Outcomes for Ischemic Stroke Patients

New research has shown that restoration of blood flow to the brain within two and a half hours from the onset of the first signs of acute ischemic stroke resulted in none, or only minimal disability in 91% of patients. Endovascular therapy in the early stages of the onset of stroke symptoms significantly improved functional... Read more

Imaging IT

view channel

World Medical VR Technology Company Unveils First-of-Its-Kind Neurosurgery Surgical Visualization Platform

A novel neurosurgery Virtual Reality (VR) visualization platform has been demonstrated at the NVIDIA GPU Technology Conference (GTC) 2016 in California (USA). The enterprise-wide solution is intended to help clinicians plan, prepare, and perform neurosurgery, and enable the surgeon to empower and engage their patients... Read more

Industry News

view channel
Image: Mazor Robotics\' Renaissance Image Guidance Robot in the Hand of a Surgeon (Photo courtesy of Mazor Robotics).

Medical Image Guidance Systems Developer Reports Demand for Systems in Q1 2016

The developer of an innovative guidance system that can improve the accuracy and clinical outcomes for spine and brain surgery procedures, has announced demand for its systems during the first quarter of 2016.... Read more
Copyright © 2000-2016 Globetech Media. All rights reserved.