A Radiographic Assessment of Pediatric Fracture Healing and Time Since Injury PDF Download

Author: Christina A. Malone
Publisher:
ISBN:
Category : Fractures in children
Languages : en
Pages : 236

View

Book Description

Author: Diana Lynn Messer
Publisher:
ISBN:
Category : Child abuse
Languages : en
Pages :

View

Book Description
Skeletal fractures, a common injury in physically abused children, often go undetected and untreated for significant lengths of time. In such cases, accurate radiographic estimation of time since injury of healing fractures may be essential to identification and characterization of child physical abuse, in both clinical and forensic contexts. However, fracture dating is imprecise in large part because the factors that influence time of healing, particularly in children, are unclear. Scientific, radiographic studies of pediatric fracture healing are limited and often universally applied to patients of all ages and fractures from various locations. Clinical experience and scientific research suggest that a multitude of intrinsic and extrinsic factors influence time of healing, including patient age and fracture location. However, to date, no timelines of pediatric fracture healing accommodate for these variables. This study comprehensively evaluates the effect of patient age and fracture location to time of fracture healing through a retrospective, radiographic study of unintentional long bone fractures of the upper and lower limb in a modern pediatric sample. Findings from this study indicate that patient age and fracture location significantly affect time of fracture healing in children. Children less than two years old exhibited new bone formation significantly earlier and children less than three years old exhibited callus formation significantly earlier. There were significant differences in time of healing between upper and lower limb fractures. SPNBF occurred approximately a week earlier in upper limb fractures and callus formation occurred approximately four days earlier in upper limb fractures. In addition, there were differences in bone type within region, with the larger bones of each region (humerus, femur) reaching hard callus significantly later than other bones within each region. Finally, SPNBF and hard callus were observed significantly earlier in non-diaphyseal compared to diaphyseal fractures. To increase accuracy of radiographic time since injury estimation, timelines of pediatric fracture healing should be specific to patient age and fracture location. Existing timelines of pediatric fracture healing, particularly those based on combined samples of patient ages and fracture locations, should be used with caution and not universally applied.

Author:
Publisher:
ISBN:
Category :
Languages : en
Pages : 145

View

Book Description

Author: Kim A. Collins
Publisher: Springer
ISBN: 9781617794025
Category : Medical
Languages : en
Pages : 0

View

Book Description
The investigation of sudden or unexplained death of children represents a unique medical and forensic area of study. Children have unique anatomic and functional characteristics that must be recognized and understood by the medical investigator. Further complicating this process is the fact that the anatomic structure, composition and function of various organs and organ systems in the pediatric population change throughout the developmental stages of childhood. The disease processes, reactions to trauma and risk factors for accidental death and homicide change from infancy through adolescence. Forensic Pathology of Infancy and Childhood provides an authoritative, comprehensive reference text devoted to the medicolegal investigation of sudden unexpected death in children. With contributions from internationally renowned experts, individual chapters focus on specific unique causes and organ systems with detailed accounts of the changes in fatal diseases, risk factors of causes of sudden death, and responses to fatal trauma that occur as a child grows from neonatal stage through infancy, toddlerhood, childhood and adolescence. This text is an essential reference resource for forensic pathologists, medical examiner offices, pediatric pathologists, pediatric hospitals, anatomic pathologists and those in training as well as those in related legal professions.

Author: Amaka Offiah
Publisher: Radcliffe Publishing
ISBN: 1846190436
Category : Medical
Languages : en
Pages : 369

View

Book Description
The radiological abnormalities associated with suspected child abuse can be extremely subtle. If missed, a baby or child may be returned to an environment where episodes of abuse may escalate. Similarly, a wrongful diagnosis can lead to an infant being removed from loving carers. This atlas will be of particular use to radiologists (both in training and at consultant level), and also to other doctors who may be first in line to encounter suspected abuse, including paediatricians, accident and emergency doctors, orthopaedic surgeons and pathologists. It uses numerous radiographs from Professor Hall's collection amassed over three decades, including many examples of the sorts of difficult cases and normal variants that are found in day to day practice. It offers assistance with the initial interpretation of what are often difficult and subtle findings in the emotionally charged environment that frequently exists when child abuse is suspected.

Author: Peter A. Revell
Publisher: Springer Science & Business Media
ISBN: 1447113772
Category : Medical
Languages : en
Pages : 358

View

Book Description
When 1 first developed an interest in the pathology of bone 1 found that there were relatively few books on the subject available. Much of my information had either to be obtained from searching the journals or from senior colleagues in the field, who, 1 should add, were always more than willing to teach me. With this memory in mind, 1 have endeavoured to produce a book which 1 hope is of a convenient size and yet will hold sufficient information to be of use mainly to the pathologist faced with a bone problem. This is not intended to be an all-embracing source of knowledge on the subject; indeed, such a task could not be undertaken by a single author in these days of the rapid increase in information even in small subspecialist areas within bone pathology. Although this book is written mainly for the pathologist, it is hoped that it may also be of interest and value to orthopaedic surgeons, rheumatolog ists and radiologists. Most of the illustrations are original and many of the drawings are my own. There has been a long tradition of interest in bone pathology at The London Hospital, which has resulted in a wealth of material being available to me from the archives of the Department of Morbid Anatomy. A few of the photo graphs are those of Prof. H. Turnbull; the observant reader will detect these, since the scales used are not metric.

Author: Juerg Hodler
Publisher: Springer Nature
ISBN: 3030712818
Category : Musculoskeletal system
Languages : en
Pages : 293

View

Book Description
This open access book focuses on imaging of the musculoskeletal diseases. Over the last few years, there have been considerable advances in this area, driven by clinical as well as technological developments. The authors are all internationally renowned experts in their field. They are also excellent teachers, and provide didactically outstanding chapters. The book is disease-oriented and covers all relevant imaging modalities, with particular emphasis on magnetic resonance imaging. Important aspects of pediatric imaging are also included. IDKD books are completely re-written every four years. As a result, they offer a comprehensive review of the state of the art in imaging. The book is clearly structured with learning objectives, abstracts, subheadings, tables and take-home points, supported by design elements to help readers easily navigate through the text. As an IDKD book, it is particularly valuable for general radiologists, radiology residents, and interventional radiologists who want to update their diagnostic knowledge, and for clinicians interested in imaging as it relates to their specialty.

Author: Jens O. Andreasen
Publisher: John Wiley & Sons
ISBN: 111825015X
Category : Medical
Languages : en
Pages : 116

View

Book Description
TRAUMATIC DENTAL INJURIES: A MANUAL The third edition of Traumatic Dental Injuries: A Manual builds on the widespread success of the previous two editions. The ultimate guide to dental trauma, the manual preserves its uniquely usable and reader-friendly format, demonstrating step-by-step treatment protocols for commonly occurring traumatic injuries. Several new sections have been added to expand the number of clinical scenarios, describing soft tissue injuries associated with dental trauma, showing how decoronation of ankylosed anterior teeth in adolescents can preserve the alveolar process for later implant placement, and identifying predictors for pulpal and periodontal ligament healing complications as well as for tooth loss. A unique feature of the new edition is the accompanying DVD which presents computer animations of all trauma scenarios, as well as links to the internet-based interactive Dental Trauma Guide to predict healing complications for individual trauma scenarios. KEY FEATURES Written by international authorities on dental trauma Demonstrates treatment protocols in a clear step-by-step format Illustrated throughout with high-quality color images and diagrams Includes more sections to expand number of clinical scenarios Accompanied by a new DVD of trauma scenario animations REVIEWS OF PREVIOUS EDITIONS The text is clear and well written and well referenced ... The chapters on diagnosis of periodontal and pulpal complications are particularly helpful as this is a difficult area for many clinicians. The manual will serve as an excellent reference for practitioners and dental students who have a good working knowledge of dental traumatology. Journal of Orthodontics Overall, this book is excellent and I believe would be an essential member of a dentist’s library. It is the sort of book that can be quickly read, and information and guidance can be located easily when the need arises. The price makes the book very affordable and I wholeheartedly recommend it as an essential reference source for the general dentist and dental student. Australian Endodontic Journal BY THE SAME AUTHORS Textbook and Color Atlas of Traumatic Injuries to the Teeth Fourth Edition Edited by J.O. Andreasen, F.M. Andreasen and L. Andersson ISBN 9781405129541 Oral and Maxillofacial Surgery Edited by L. Andersson, K.E. Kahnberg and M.A. Pogrel ISBN 9781405171199 DVD animations can be found by entering the ISBN at Booksupport.wiley.com

Author: C. Clifford Boyd, Jr.
Publisher: John Wiley & Sons
ISBN: 1119226384
Category : Medical
Languages : en
Pages : 372

View

Book Description
Provides comprehensive coverage of everything that students and practitioners need to know about working in the field of forensic anthropology Forensic anthropology has been plagued by questions of scientific validity and rigor despite its acceptance as a section in the American Academy of Forensic Sciences nearly half a century ago. Critics have viewed it as a laboratory-based applied subfield of biological anthropology, and characterised it as emphasising methodology over theory. This book shows that these views are not only antiquated, but inadequate and inaccurate. Forensic Anthropology: Theoretical Framework and Scientific Basis introduces readers to all of the theoretical and scientific foundations of forensic anthropology — beginning with how it was influenced by the early theoretical approaches of Tyler, Morgan, Spencer and Darwin. It instructs on how modern forensic science relies on an interdisciplinary approach — with research being conducted in the fields of archaeology, physics, geology and other disciplines. This modern approach to theory in forensic anthropology is presented through the introduction and discussion of Foundational, Interpretive and Methodological theories. Sections cover: Bias and Objectivity in Forensic Anthropology Theory and Practice; The Theory and Science Behind Biological Profile and Personal Identification; Scientific Foundation for Interpretations of Antemortem, Perimortem, and Postmortem Processes; and Interdisciplinary Influences, Legal Ramifications and Future Directions. Illustrates important aspects of the theory building process and reflects methods for strengthening the scientific framework of forensic anthropology as a discipline Inspired by the “Application of Theory to Forensic Anthropology” symposium presented at the 67th annual meeting of the American Academy of Forensic Sciences Chapters written by experts in the field who were presenters at the symposium Forensic Anthropology: Theoretical Framework and Scientific Basis is ideal for university courses in anthropological science, forensic science, criminal science and forensic archaeology.

Author: Axel Gänsslen
Publisher: Springer Nature
ISBN: 3030547302
Category : Medical
Languages : en
Pages : 622

View

Book Description
This book provides in-depth coverage of all aspects of pelvic ring fractures and their management. The opening chapters supply essential information on surgical anatomy, biomechanics, classification, clinical evaluation, radiological diagnostics, and emergency and acute management. The various operative techniques, including navigation techniques, that have been established and standardized over the past two decades are then presented in a step-by-step approach. Readers will find guidance on surgical indications, choice of approaches, reduction and fixation strategies, complication management, and optimization of long-term results. Specific treatment concepts are described for age-specific fractures, including pediatric and geriatric injuries, and secondary reconstructions. Pelvic ring fractures represent challenging injuries, especially when they present with concomitant hemodynamic instability. This book will help trauma and orthopaedic surgeons at all levels of experience to achieve the primary treatment aim of anatomic restoration of the bony pelvis to preserve biomechanical stability and avoid malunion with resulting clinical impairments.