Influence of clinical information on the diagnosis of a wrist fracture in a child
Date First Published:
July 1, 2005
Last Updated:
July 14, 2005
Report by:
Pranam Patel, medical student (Manchester Royal Infirmary)
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 2005
CINAHL 1982-June 2005
The Cochrane library, issue 2 2005
CINAHL 1982-June 2005
The Cochrane library, issue 2 2005
Outcome:
1 citation was found and was a high quality retrospective clinical trial
Relevant Paper(s):
| Study Title | Patient Group | Study type (level of evidence) | Outcomes | Key results | Study Weaknesses |
|---|---|---|---|---|---|
| influence of clinical information on the detection of wrist fractures in children Ehara S Oct-99 Japan | 20 children under the age of 15 and 20 age-matched controls | clinical trial | detection of fractures | significantly improved with clinical information |
Author Commentary:
Wrist fractures are very common in children and accurate diagnosis is essential. This review shows that clinical information should be made available when interpreting radiographs
Bottom Line:
Detection of wrist fractures in children is significantly improved when clinical information is used
References:
- Ehara S. influence of clinical information on the detection of wrist fractures in children