The Journal of Bone and Joint Surgery, Vol 68, Issue 4 599-602, Copyright © 1986 by Journal of Bone and Joint Surgery, Inc
Arthrography in the diagnosis of fractures of the distal end of the humerus in infants
BA Akbarnia, MJ Silberstein, RJ Rende, ER Graviss and A Luisiri
Single-contrast arthrography was performed in six infants who had an injury
to the elbow because the exact nature of the injury was uncertain from
interpretation of the plain radiographs and clinical findings. A correct
diagnosis was made in all six patients, and it significantly altered the
treatment in five. Four lesions were a Salter-Harris Type-I fracture and
two were a Salter-Harris Type-II fracture. Three patients had a closed
reduction, two required no reduction, and one had an open reduction. Child
abuse of two infants was confirmed, and it was suspected in another two.