A proposed scheme for classifying pediatric rib head fractures using case examples.
A proposed scheme for classifying pediatric rib head fractures using case examples.
复制标题
使用案例对儿童肋骨骨头骨折进行分类的拟议方案。
DOI：
10.1111/1556-4029.12590
复制
发表时间：
2015
影响因子：
1.6
通讯作者：
Greeley,ChristopherS
中科院分区：
文献类型：
--
作者：
Pinto,DeborrahC;Love,JenniferC;Derrick,SharonM;Wiersema,JasonM;Donaruma-Kwoh,Marcella;Greeley,ChristopherS
儿童肋骨骨头骨折通常被描述为“后部”或“肋椎”，这些术语缺乏特异性。为了解决这个问题，开发了一个方案来描述在儿科法医群体中观察到的肋骨骨头骨折的位置。该方案使用三个解剖标志：终点（尖端）、结节和肋椎关节面，将肋骨头分为两个子区域：肋椎和肋横。使用该方案提供了五例肋骨骨头骨折婴儿的例子。在这些婴儿中观察到 48 处肋骨骨头骨折，发生频率如下： 56%（三名婴儿）发生在终点； 21%（三名婴儿）位于肋椎分区； 21%（一名婴儿）位于肋椎关节面； 2%（一名婴儿）位于肋横次区域。由于评估的病例数量较少，无法进行统计分析；然而，数据表明儿童肋骨骨头骨折的分布存在差异。
Pediatric rib head fractures are typically described as “posterior” or “costovertebral,” terms lacking specificity. To resolve this issue, a scheme was developed to describe the location of rib head fractures observed in a pediatric forensic population. The scheme uses three anatomical landmarks, terminus (tip), tubercle, and costovertebral articular surface to divide the rib head into two subregions, costovertebral and costotransverse. Examples of five cases of infants with rib head fractures are presented using this scheme. Forty‐eight rib head fractures were observed in these infants with the following frequencies: 56% (three infants) at the terminus; 21% (three infants) in the costovertebral subregion; 21% (one infant) at the costovertebral articular facet; and 2% (one infant) in the costotransverse subregion. Due to the small number of cases assessed, statistical analyses could not be performed; however, the data demonstrate the variation in distribution of pediatric rib head fractures.