PEDIATRICS Vol. 78 No. 5 November 1986, pp. 803-807
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Extremity Injuries in Children: Predictive Value of Clinical Findings

Frederick P. Rivara MD, MPH1, Ruth Ann Parish MD1, and Beth A. Mueller DPH1

1 From the Departments of Pediatrics and Epidemiology, University of Washington and Harborview Medical Center, Seattle

This study sought to identify clinical predictors of extremity fracture in children with trauma. There were 189 children 1 to 15 years of age with 209 extremity injuries seen during a 9-month period. Gross deformity and point tenderness were the best predictors of upper extremity fracture; these two findings correctly identified 81% of children with fractures and 82% of these without fractures. Gross deformity and pain on motion best predicted lower extremity fracture, with 97% of children with fractures correctly identified. The study showed that physical examination is predictive of fractures in extremity injuries of children, regardless of age. In the absence of the specific physical findings identified by the study, the probability of diagnosing a fracture by roentgenographic findings is low.

Key Words: extremity injury • fracture • roentgenograph

Submitted on October 28, 1985
Accepted on March 17, 1986


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