title: Clinical diagnosis of fractures in a paediatric population.
abstract: Diagnosing fractures in the paediatric population is a problematical process for which there are currently no accepted clinical criteria. We studied the physical signs sought by accident and emergency staff in 126 children with suspected fractures. We found a significant correlation between 'point tenderness' and fracture, as demonstrated by plain radiograph. 'Swelling' and 'redness' approached significance. These results correlate well with previous work in this area, but further research using a larger sample is required as confirmation.
authors.affiliation: Royal Hospital for Sick Children, Edinburgh EH9 1LF, UK.
authors.forename: Abdullah S
authors.initials: AS
authors.lastname: Al-Adhami
authors.forename: Carolyn M
authors.initials: CM
authors.lastname: Brennand
authors.forename: Priscilla P S
authors.initials: PP
authors.lastname: Chiam
authors.forename: Emily M
authors.initials: EM
authors.lastname: Palmer
authors.forename: Tania K
authors.initials: TK
authors.lastname: Schmieder
authors.forename: Anoop S
authors.initials: AS
authors.lastname: Shah
authors.forename: Vanitha N
authors.initials: VN
authors.lastname: Sivalingam
authors.forename: Thomas F
authors.initials: TF
authors.lastname: Beattie
mesh_terms: D002648:Child; D004487:Edema / Q000209:etiology; D004635:Emergency Medicine / Q000379:methods* / Q000706:statistics & numerical data; D005260:Female; D050723:Fractures, Bone / Q000150:complications / Q000175:diagnosis*; D006801:Humans; D016015:Logistic Models; D008297:Male; D010146:Pain / Q000209:etiology; D010147:Pain Measurement; D010372:Pediatrics / Q000379:methods* / Q000706:statistics & numerical data; D010808:Physical Examination / Q000379:methods