Abstract
Background: Pelvic radiographs are obtained frequently in pediatric blunt trauma. The authors hypothesize that there are clinical indicators that can predict pelvic fracture on a pelvic radiograph in the pediatric blunt trauma patient with a Glasgow Coma Scale score of 14 or 15. Methods: A retrospective case-control study of 33 patients with pelvic fractures and 63 patients without pelvic fractures was performed. Results: 8 evaluated clinical indicators showed that pelvic contusions and abrasions (P =.026), hip/pelvic pain (P<.001), abdominal pain and distension (P =.006), back pain (P =.080), hip held in rotation at presentation (P =.026), and femur deformity/pain (P =.002) were independently predictive of pelvic fracture. In combination, absence of hip/pelvic pain, pelvic contusions and abrasions, abdominal pain/distension, and femur deformity/pain showed a negative predictive value of 87%. Conclusion: Clinical indicators may be useful in determining the need for pelvic radiographs in awake and alert pediatric blunt trauma patients.
Original language | English (US) |
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Pages (from-to) | 935-940 |
Number of pages | 6 |
Journal | Clinical pediatrics |
Volume | 47 |
Issue number | 9 |
DOIs | |
State | Published - Nov 1 2008 |
Keywords
- Blunt trauma
- Pediatric trauma
- Pediatrics
- Pelvic X ray
- Pelvic fracture
- Pelvic injury
- Pelvic radiograph
- Routine radiographs
- Trauma
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health