A prospective evaluation of the clinical presentation of pediatric pelvic fractures

Edward P. Junkins, Douglas S. Nelson, Kristen L. Carroll, Kristine Hansen, Ronald A. Furnival

Research output: Contribution to journalArticlepeer-review

41 Scopus citations

Abstract

Background: We sought to describe pediatric, blunt trauma patients with pelvic fracture (PF) and to evaluate pelvis examination sensitivity and specificity. Methods: We conducted a prospective study of blunt trauma patients at a Level I pediatric trauma center. A pediatrie emergency medicine physician attempted to diagnose a PF, solely on the basis of the history and pelvis examination. Patients with blunt trauma but no pelvic fracture (NPF) were used as controls. Results: We enrolled 140 patients (16 PF, 124 NPF), and no significant differences were found regarding median age, gender, injury mechanism, acuity, and medical outcome. Approximately 25% of PF patients had iliac-wing fractures; 37%, single pelvic ring; 25%, double pelvic ring; and 13%, acetabular fractures. Eleven patients with PF had an abnormal pelvis examination (69% sensitivity), compared with six NPF patients (95% specificity, negative predictive value 0.91). Conclusion: Pediatric patients with PF have low mortality and few complex fractures. The pelvis examination appears to have both high specificity and negative predictive value.

Original languageEnglish (US)
Pages (from-to)64-68
Number of pages5
JournalJournal of Trauma - Injury, Infection and Critical Care
Volume51
Issue number1
DOIs
StatePublished - Jul 2001

Keywords

  • Blunt abdominal trauma
  • Injury severity
  • Pediatric
  • Pelvic fracture

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