Pediatric Imaging for the Emergency Provider

All fun and games: Femoral fractures

Case presentation A 2-year-old male presents with acute right leg pain after falling while jumping on a trampoline. Apparently, he fell off the trampoline onto the ground and landed on his left leg. The distance was estimated at 3 ft…

Can’t move your hips: Pelvic fractures

Case 1 presentation A 14-year-old male presents with a complaint of acute right hip pain. The patient is an avid soccer player and was kicking a ball “pretty hard.” Immediately upon full extension of the right leg, he felt a…

Snuffbox? Scaphoid fractures

Case presentation A 16-year-old female presents to the emergency department with complaints of right wrist and hand pain following a fall on an outstretched hand during sports practice after school. Vital signs are age appropriate and her physical examination is…

Bones out of place? Wrist fractures

Case presentation An 11-year-old male presents with left wrist pain and swelling 3 days after he fell while playing soccer. Apparently, in the course of the game, he fell on his outstretched left arm. After the injury, he continued to…

Italian twins: Monteggia and galeazzi fractures

Case presentation A 4-year-old male presents with right forearm pain after falling while in a “bouncy house.” Apparently, the child was in the house with several other children and had a witnessed fall onto the arm. The parents noted that…

Let’s play! Forearm fractures

Case presentation A 4-year-old child presents after falling on an outstretched hand while running at school. He complains of pain to the right forearm and is splinted by the school nurse and given pain medicine by paramedics. There is no…

In pieces: Clavicle fracture

Case presentation A 12-year-old male presents after a direct fall onto his right arm and shoulder while playing soccer. He is comfortable and prefers to hold the arm close to his body and is supporting the injured arm with his…