A Practical Method for Obtaining True Lateral Elbow X-rays in a Paediatric Age Group: Lateral Elbow X-ray in the Standing Salute Position     
Yazarlar (6)
Doç. Dr. Mehmet Burtaç EREN Tokat Gaziosmanpaşa Üniversitesi, Türkiye
Murat Aşcı
Türkiye
Dr. Öğr. Üyesi Erkal BİLGİÇ Tokat Gaziosmanpaşa Üniversitesi, Türkiye
Taner Güneş
Türkiye
Doç. Dr. Orhan BALTA Tokat Gaziosmanpaşa Üniversitesi, Türkiye
Tahir Öztürk
Tokat Gaziosmanpaşa Üniversitesi, Türkiye
Makale Türü Açık Erişim Özgün Makale
Makale Alt Türü SSCI, AHCI, SCI, SCI-Exp dergilerinde yayınlanan tam makale
Dergi Adı INDIAN JOURNAL OF ORTHOPAEDICS
Dergi ISSN 0019-5413 Wos Dergi Scopus Dergi
Dergi Tarandığı Indeksler SCI-Expanded
Dergi Grubu Q4
Makale Dili İngilizce
Basım Tarihi 02-2021
Cilt No 55
Sayı 1
Sayfalar 125 / 129
DOI Numarası 10.1007/s43465-020-00238-9
Makale Linki http://dx.doi.org/10.1007/s43465-020-00238-9
Özet
Paediatric elbow fractures constitute 10% of all paediatric fractures. Radiological interpretation of the immature elbow is difficult due to its cartilaginous structure. We aimed to describe an X-ray technique in paediatric patients to obtain true lateral elbow X-rays and to prevent the repeat X-ray shots. Radiographs of 39 children, with a mean age of 48.17 months (range; 7-84 months), with elbow trauma were included. All elbow lateral radiographs were taken in the 90º flexion position. In the first group, radiographs were taken using the standard technique(lateral radiographs in shoulder internal rotation). In the second group, lateral radiographs of the elbow were taken while the patient was standing and the forearm was elevated passively with 90° shoulder abduction and 90° elbow flexion (standing salute position). Three criteria were examined from the graphs to determine the true lateral elbow graphy. In group 1 ( = 20) and group 2 ( = 19), lateral elbow radiographs were evaluated. No statistically significant differences were found between the groups, in terms of mean age and distal humeral fractures. In group 2; the presence of humeroulnar joint space, partial coronoid superposition of the radius head and presence of the hourglass formation were significantly higher. It is clear that radiographs taken in appropriate positions decreases diagnostic errors. In our study, the ratio of correct lateral radiographs was significantly higher in the radiograph group in the standing salute position, suggesting this method was safe for accurate lateral radiographs, in accordance with our hypothesis.
Anahtar Kelimeler
Elbow radiography | Pediatric elbow trauma | Pediatric radiological examination