Influence of clinical information on the diagnosis of a wrist fracture in a child
- Report By: Pranam Patel - medical student
- Institution: Manchester Royal Infirmary
- Date Submitted: 1st July 2005
- Last Modified: 14th July 2005
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Status:
Blue (submitted but not checked)
Three Part Question
in [a child aged 3-12] is [clinical information a good indicator] to [diagnose a wrist fracture]Clinical Scenario
An eight year old child presents to the emergency department with swelling, local tenderness, pain and crepitus. Can this clinical information accurately diagnose a wrist fracture?Search Strategy
Medline 1966-June 2005CINAHL 1982-June 2005
The Cochrane library, issue 2 2005
Search Outcome
1 citation was found and was a high quality retrospective clinical trialRelevant Paper(s)
| Author, date and country | Patient group | Study type (level of evidence) | Outcomes | Key results | Study Weaknesses |
|---|---|---|---|---|---|
| Ehara S Oct 1999 Japan | 20 children under the age of 15 and 20 age-matched controls | clinical trial | detection of fractures | significantly improved with clinical information |
Comment(s)
Wrist fractures are very common in children and accurate diagnosis is essential. This review shows that clinical information should be made available when interpreting radiographsClinical Bottom Line
Detection of wrist fractures in children is significantly improved when clinical information is usedReferences
- Ehara S influence of clinical information on the detection of wrist fractures in children