Frequently missed fractures in children (value of comparative views).

Fractures in infants and children are different to those seen in adults. Many are very subtle and difficult to detect with certainty. Furthermore, variations in bone contour and epiphyseal plate configuration are endless and at first may suggest pathology. Comparative views are therefore invaluable and are emphasized throughout this communication, which deals with: (1) plastic bending fractures, (2) hairline fractures, (3) impaction fractures, (4) subtle epiphyseal-metaphyseal Salter-Harris fractures, and (5) subtle angle buckle fractures. Helpful points to assist one in detecting these fractures are presented. Copyright 2004 ASER