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Fractures in Children: Practical Approach to Reduce Missed Diagnosis

Hazar Abdulbasset Tabban MD, FRCR, Abdul Hafiz Mohamad Gani, MD, Ashley Maya Ezeldin, Ezat El- Said

Fractures in children are common due to increased physical activity and their regular engagement in sports. Pediatric fractures can be subtle and easily missed on plain radiographs. This can be caused by many factors including those related to patients, technical, clinical, and radiological. The immature skeleton has a few unique features that can add to increased incidence of missed non-displaced fractures, however, some of these structural characteristics play a positive favourable role in the healing process of these fractures. Missed fractures in pediatrics can lead to long-term deformities or physical disabilities. In this mini-review article, we go through some of the factors contributing to missed diagnosis, go through few examples of subtle fractures in upper limb and the best technique to decrease the incidence of missed diagnosis.