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Сообщение от alex2006mobile
Fat pad sign там надо искать
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Также смотрю на эти признаки(признаки выпоту в суставе,иногда и воспалительного) ,но
onnelly et al. concluded that joint effusion without a visible
fracture on initial radiographs does not correlate with the presence of occult fracture in most
patients (83%). Persistent effusion did correlate with occult fracture: 78% of those with
occult fractures had persistent effusions, whereas effusions were noted in only 16% of those
without fractures. More recently, in a prospective MRI study of 26 children with positive fat
pad signs, Al-Aubaidi and Torfing2 concluded that the presence of a positive fat pad sign is
not synonymous with an occult fracture. All 26 children had a positive fat pad sign on lateral
radiographs, but MRI scans obtained an average of 7 days later found occult fractures in only
six patients, none of whom had a change in fracture treatment. Most (73%) had bone bruise
by MRI. (Rockwood & Wilkins’ fractures in children | Fractures in children
Description: Ninth edition, 2020).
На представленых снимках, в сравнении с контрлатеральной конечностью, латеральный угол наклона головки луча больше, и больше нормы(в среднем 12градусов)