#16
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â ïåðâûå äåñÿòü ëåò - ïðàêòè÷åñêè íå âñòðå÷àþòñÿ. â îäèííàäöàòü - êðàéíå ìàëîâåðîÿòíî. 15-25 - ÷àùå âñåãî. Íåïîëíàÿ îññèôèêàöèÿ ñêàôîèäà çàùèùàåò îò ïåðåëîìîâ , çà èñêëþ÷åíèåì àâóëüñèîííûõ
The peak incidence of scaphoid fractures in children and adult is between late teens and mid twenties, scaphoid fractures are extremely rare during the first decade of life. The peak period for scaphoid fractures in skeletally immature children is about 15 years of age íà äàííîì ñíèìêå íåò íè÷åãî, ÷òî ïîçâîëèëî áû çàïîäîçðèòü ýòîò ýêçîòè÷åñêèé â äàííîì âîçðàñòå ïåðåëîì |
#17
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Öèòàòà:
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#18
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pediatric çàêàí÷èâàåòñÿ ëèáî ïî êàëåíäàðíîìó âîçðàñòó â 16-18 ëåò, ëèáî ñ çàêðûòèåì ýïèôèçà (17 ëåò â ñðåäíåì). Ïîæàëóéñòà, ïåðå÷èòàéòå, ÷òî ÿ íàïèñàë âûøå. Äî 10 ëåò - ïðàêòè÷åñêè íå âñðå÷àåòñÿ. ïåðåëîìû ñêàôîäà õàðàêòåðíû äëÿ ãðóïïû 15-25 ëåò. Íàøåé ïàöèåíòêå âñåãî 11
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#19
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#20
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âîò, ïîæàëóéñòà
[Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ] The pediatric fracture of the scaphoid in patients aged 13 years and under: an epidemiological study Fifty-six patients of the 838 (6.7%) referred for a suspected scaphoid fracture were identified as having a confirmed diagnosis of a scaphoid fracture, giving an average annual incidence of 11 per 100,000...No scaphoid fractures were observed in boys below the age of 11 years and in girls below the age of 9 years |
#21
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Öèòàòà:
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#22
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òî åñòü Âû ñî ìíîé ñîãëàñíû, ÷òî â âîçðàñòå äî äåñÿòè ëåò ýòîò ïåðåëîì ïðàêòè÷åñêè íå âñòðå÷àåòñÿ, ñ 10 äî 15 (òðèíàäöàòü â ìîåé ñòàòüå è 14 â âàøåé) - êðàéíå ðåäîê.
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#23
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We performed a retrospective chart review study of a consecutive sample of all children aged 4 to 11 years old who presented to a tertiary pediatric emergency department from January 1, 2009, to December 31, 2013, within 24 hours of a wrist injury,………There were 142 patients (144 wrists) included in the study. Of these, 110 had a normal initial x-ray. Initial x-rays showed evidence of nonscaphoid fractures in 30 wrists and equivocal scaphoid fractures in 4 wrists. - Jonathan Porter , Robert Porter , Kevin Joseph Chan. Scaphoid Fractures in Children: Do We Need to X-ray? A Retrospective Chart Review of 144 Wrists \\ Pediatr Emerg Care 2020 Mar;36(3):130-133. doi: 10.1097/PEC.0000000000001459.
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#24
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All cases in children up to the age of 10 years, treated in a tertiary pediatric hand and upper limb from January 2014 to June 2018 were included. A total of 23 patients with documented scaphoid fractures in children up to the age of 10 years were found. The mean age was 9.8 years, with female preponderance. - Scaphoid Fractures below the Age of 10: Case Series and Review of the Literature. Rachana Tataria , Jeannette Ting , Andrea Jester , Tommy R Lindau , Kerstin Oestreich J Wrist Surg 2020 Dec;9(6):458-464. doi: 10.1055/s-0040-1713800. Çà 4 ãîäà â îäíîì ó÷ðåæäåíèè 23 ñëó÷àÿ ïåðåëîìà ëàäüè ó äåòåé, ìëàäøå 10 ëåò - ýòî ìíîãî èëè ìàëî?
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#25
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Çà ÷åòûðå ñ ïîëîâèíîé ãîäà â áîëüíèöå, ïîêðûâàþùåé âñþ òðàâìó íà ðàéîí â 3 ìèëëèîíà íàñåëåíèÿ êàê ìèíèìóì (âîçìîæíî, áîëüøå, åñëè â ñîñåäíèõ ðàéîíàõ íåò ïîäîáíîãî ñåðâèñà)? Äà åùå â UK, ãäå äåíåã íà äèàãíîñòèêó â ïðèíöèïå íå ñ÷èòàþò, ïîêà îíè íè çàêîí÷àòñÿ )) Î÷åíü ìàëî. ïðè òîì, ÷òî îñíîâíîé äèàãíîñòè÷åñêèé ìåòîä - ÌÐÒ, òî åñòü â áîëüøèíñòâå ( èëè âî âñåõ ) ñëó÷àÿõ ýòè ïåðåëîìû íàñòîëüêî ìèçåðíû, ÷òî íå âèäíû íà ðåíòãåíîãðàììå.
Õîòÿ Âàøå óïîðñòâî äåëàåò Âàì ÷åñòü ))) à òåïåðü ïîäòâåðäèòå, ÷òî ýòè ïåðåëîìû - 3 ïðîöåíòà îò âñåé òðàâìû êèñòè ó äåòåé 6-10 ëåò. |