title: Missed fractures in paediatric trauma patients.
abstract: Missed fractures and other occult musculoskeletal injuries are common in paediatric trauma patients despite the thorough evaluation with standard trauma protocols. Several factors have been identified that contribute to the risk of failing to identify these injuries during the initial resuscitation and assessment of the paediatric trauma patient. These include patient-related, clinical, technical, and radiological causes. Preventive strategies have been proposed to minimize these overlooked injuries and their potential long-term consequences. A timely review of this problem is appropriate to continually improve the quality of care delivered to paediatric trauma patients.
authors.affiliation: Center for Pediatric Orthopedics, University of Arizona College of Medicine, Phoenix Children's Hospital, Phoenix, Arizona 85016, USA. lsegal@phoenixchildrens.com
authors.forename: Lee S
authors.initials: LS
authors.lastname: Segal
authors.affiliation: Division of Pediatric Orthopaedics, Phoenix Children's Hospital, 1919 East Thomas Road, Phoenix, AZ 85016, USA.
authors.forename: M Wade
authors.initials: MW
authors.lastname: Shrader
mesh_terms: D002648:Child; D003951:Diagnostic Errors; D050723:Fractures, Bone / Q000175:diagnosis*; D005596:Fractures, Closed / Q000175:diagnosis; D006801:Humans; D009104:Multiple Trauma; D010384:Pelvic Bones / Q000293:injuries; D011787:Quality of Health Care; D016103:Spinal Fractures / Q000175:diagnosis