Multidetector computed tomography of pediatric lateral condylar fractures.

摘要: Objective: The objective of this study was to compare lateral condylar fracture characterization using radiographs and multidetector computed tomography (MDCT) the elbow evaluate outcomes in a group children managed based on MDCT findings. Methods: Unenhanced with sagittal coronal reformations prospectively performed without sedation 10 between 1 16 years age fractures identified frontal elbow. Two blinded readers reviewed all images independently consensus. For images, graded displacement condyle fragment classified according Milch classification. Articular epiphyseal cartilage integrity assessed MDCT. Patients were consensus interpretation study. frequency interobserver agreement, discordant grading classification altered management findings determined. Results: Individual agreed 9 patients (90%) (100%) 4 (40%) In (40%), differed images. 6 (60%), All 3 greater than 5 mm patient 2 demonstrated disruption articular (20%) near surgical threshold had progressed complete healing, no delayed or other complications. Conclusions: Multidetector is highly reproducible means characterizing pediatric frequently demonstrates mm. may lead treatment