{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,16]],"date-time":"2026-05-16T09:18:52Z","timestamp":1778923132541,"version":"3.51.4"},"reference-count":23,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2022,8,16]],"date-time":"2022-08-16T00:00:00Z","timestamp":1660608000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Medical Radiation Sci"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Concurrent X\u2010ray imaging of the wrist, forearm and elbow in paediatric patients following a fall on the outstretched hand (FOOSH) is intended to minimise the risk of an undetected co\u2010occurring injury and is typically performed on patients aged 0\u201310\u2009years. The purpose of this study was to explore the benefit of this strategy and to identify if age could provide evidence for imaging.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A 12\u2010month retrospective review of all X\u2010ray examinations of the wrist, forearm and distal humerus of patients aged 0\u201310\u2009years referred from the Emergency Department of Logan Hospital, Queensland was undertaken. The frequency, type and location of radiographic abnormalities and the requested examinations region of interest (ROI), referral notation and patient's age were recorded. Analysis was made by descriptive statistics.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Four hundred and seventy\u2010six examinations met the studies inclusion criteria, 4.8% (<jats:italic>n<\/jats:italic>\u2009=\u200923) identified an abnormality outside of the documented ROI. On review of the admission and treatment notes, 1.7% (<jats:italic>n<\/jats:italic>\u2009=\u20098) were deemed to have detected traumatic abnormalities as a direct outcome of concurrent imaging. No age\u2010related evidence for imaging was identified.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This study demonstrates limited benefit (1.7%) to concurrent imaging following a FOOSH. The results suggest that a thorough physical evaluation of the paediatric upper limb performed by the referrer is sufficient to accurately guide X\u2010ray imaging. These findings have the potential to positively impact a reduction in the number of X\u2010rays performed on paediatric patients and in turn contribute to limiting radiation dose. Further studies may be beneficial in verifying the study's findings.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jmrs.614","type":"journal-article","created":{"date-parts":[[2022,8,17]],"date-time":"2022-08-17T02:23:08Z","timestamp":1660702988000},"page":"431-438","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Is there benefit to concurrent x\u2010ray imaging of the wrist, forearm and elbow in paediatric patients following a fall on the outstretched hand?"],"prefix":"10.1002","volume":"69","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2688-548X","authenticated-orcid":false,"given":"Daniel G","family":"Sgualdino","sequence":"first","affiliation":[{"name":"School of Dentistry and Medical Sciences Charles Sturt University  Wagga Wagga New South Wales Australia"},{"name":"Department of Medical Imaging Logan Hospital  Meadowbrook Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael J","family":"Neep","sequence":"additional","affiliation":[{"name":"Department of Medical Imaging Logan Hospital  Meadowbrook Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0285-9962","authenticated-orcid":false,"given":"Kelly","family":"Spuur","sequence":"additional","affiliation":[{"name":"School of Dentistry and Medical Sciences Charles Sturt University  Wagga Wagga New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6469-4027","authenticated-orcid":false,"given":"Clarissa","family":"Hughes","sequence":"additional","affiliation":[{"name":"School of Nursing, Paramedicine and Healthcare Sciences Charles Sturt University  Wagga Wagga New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,8,16]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.mporth.2018.07.016"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtumed.2018.04.011"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.290.11.1479"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/emj.2005.029249"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/PEC.0b013e3181eb838d"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00247-015-3304-1"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-200105000-00009"},{"key":"e_1_2_6_9_1","volume-title":"Radiology of Skeletal Trauma","author":"Rogers LF","year":"1992"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2007.01.036"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.mporth.2015.04.002"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.3928\/00904481-20140417-12"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1742-6723.2012.01611.x"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e3181f1e837"},{"key":"e_1_2_6_15_1","unstructured":"The Westmead Children's Hospital.Personal Communication Debbie O'Reilly \u2010 Logan Hospital Medical Imaging Department \u2010 Revision of Paediatric Forearm Protocol2020."},{"key":"e_1_2_6_16_1","unstructured":"Queensland Children's Hospital Melbourne.Personal Communication Logan Hospital Medical Imaging Department \u2010 Revision of Paediatric Forearm Protocol2020."},{"key":"e_1_2_6_17_1","first-page":"E24","article-title":"Diagnostic radiation exposure in pediatric trauma patients","volume":"70","author":"Brunetti MA","year":"2011","journal-title":"J Trauma"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1017\/CBO9780511777516.002"},{"key":"e_1_2_6_19_1","volume-title":"Textbook of Radiographic Positioning and Related Anatomy","author":"Bontrager KL","year":"2014"},{"key":"e_1_2_6_20_1","volume-title":"Merrill's Atlas of Radiographic Positioning and Procedures\u20103\u2010Volume Set\u2010E\u2010Book","author":"Rollins JH","year":"2022"},{"key":"e_1_2_6_21_1","volume-title":"Medical Imaging\u2010E\u2010Book: Techniques, Reflection and Evaluation","author":"Carver E","year":"2021"},{"key":"e_1_2_6_22_1","unstructured":"Microsoft.Microsoft Excel 2020 [cited 2021 June 25]. 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