Radiographic Reports

Paediatric X-ray Reports

Practice examples of Preliminary Clinical Evaluation (Clinical Reporting) in Pediatric Radiology. Explore 20 typical paediatric cases designed for student learners to develop their X-ray and radiology reporting terminology, as well as describe types of fractures or dislocations and their locations within radiographic anatomy.

Reports for Common Paediatric Fractures & Displacements

  1. Greenstick fracture of the left distal radius near the wrist joint.
    • (Greenstick: a fracture in a young, soft bone where the bone bends and partially breaks.)
    • Greenstick fracture of the left distal radius near the wrist joint.
  2. Buckle fracture of the right proximal ulna, midshaft.
    • (Buckle: compression of the bone resulting in a bulging or “buckling” appearance.)
    • Buckle fracture of the right proximal ulna, midshaft.
  3. Supracondylar fracture of the right distal humerus, posteriorly displaced.
    • (Supracondylar: fracture located just above the elbow joint.)
    • Supracondylar fracture of the right distal humerus, posteriorly displaced.
  4. Slipped upper femoral epiphysis of the right hip with moderate displacement.
    • (SUFE: a hip condition that occurs in teens and pre-teens causing the head of the femur to slip.)
    • Slipped upper femoral epiphysis of the right hip with moderate displacement.
  5. Spiral fracture of the left tibia, lower third (often called a “Toddler’s fracture”).
    • (Toddler’s fracture: common in young children just starting to walk.)
    • Spiral fracture of the left tibia, lower third.
  6. Fracture of the right thumb distal phalanx at the base involving the growth plate (known as Salter-Harris type II).
    • (Salter-Harris: classification of growth plate fractures.)
    • Fracture of the right thumb distal phalanx at the base involving the growth plate.
  7. Posterior dislocation of the left elbow with a dislocation of the radial head (known as Radial head subluxation or “Nursemaid’s elbow”).
    • (Radial head subluxation: commonly seen in young children.)
    • Posterior dislocation of the left elbow with a dislocation of the radial head.
  8. Fracture of the left first metacarpal base with slight medial displacement (known as Bennett’s fracture).
    • (Bennett’s fracture: a type of thumb injury.)
    • Fracture of the left first metacarpal base with slight medial displacement.
  9. Displacement injury of the right foot involving the midfoot bones (known as Lisfranc injury).
    • (Lisfranc injury: disruption of the bones or ligaments of the midfoot.)
    • Displacement injury of the right foot involving the midfoot bones.
  10. Fracture of the left distal third of the radius associated with a dislocation at the wrist (known as Galeazzi fracture-dislocation).
    • (Galeazzi: involves a fracture of the radius and a dislocation of the ulna.)
    • Fracture of the left distal third of the radius associated with a dislocation at the wrist.
  11. Fracture of the right forearm’s proximal ulna associated with a dislocation of the radial head (known as Monteggia fracture-dislocation).
    • (Monteggia: involves the ulna fracture and radial head dislocation.)
    • Fracture of the right forearm’s proximal ulna associated with a dislocation of the radial head.
  12. Bowing of the left midshaft fibula.
    • (Bow: bone bends but doesn’t break completely, giving it a curved appearance.)
    • Bowing of the left midshaft fibula.
  13. Fractured left calcaneus with involvement of the joint (known as Intraarticular fracture).
    • (Intraarticular: fractures that extend into the joint space.)
    • Fractured left calcaneus with involvement of the joint.
  14. Fracture of the left distal femur’s growth plate on the lateral aspect.
    • (Physeal: relates to the growth plate of bones.)
    • Fracture of the left distal femur’s growth plate on the lateral aspect.
  15. Lateral dislocation of the right patella with evidence of soft tissue swelling.
    • Dislocation of the patella: the kneecap moves out of its normal position.
    • Lateral dislocation of the right patella with evidence of soft tissue swelling.
  16. Transverse fracture of the left clavicle, middle third, with superior displacement.
    • (Transverse: the fracture line is perpendicular to the long axis of the bone.)
    • Transverse fracture of the left clavicle, middle third, with superior displacement.
  17. Compression fracture of the anterior aspect of the L1 vertebral body.
    • (Compression: bone is crushed causing it to become shorter.)
    • Compression fracture of the anterior aspect of the L1 vertebral body.
  18. Fragment of bone pulled from the left anterior superior iliac spine (known as Avulsion fracture).
    • (Avulsion: bone fragment is pulled away usually by a tendon or ligament.)
    • Fragment of bone pulled from the left anterior superior iliac spine.
  19. Fracture of the left bone in the wrist without displacement (known as Scaphoid fracture).
    • (Scaphoid: one of the carpal bones in the wrist, prone to fractures.)
    • Fracture of the left bone in the wrist without displacement.
  20. Diagonal fracture of the right fifth metatarsal shaft (known as Oblique fracture, often termed “dancer’s fracture”).
    • (Oblique: the fracture line runs diagonally across the bone.)
    • Diagonal fracture of the right fifth metatarsal shaft.

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