Identifying Fractures or Sutures in Pediatric Trauma Patients
October 13, 2021
Posted by Andy Jagoda MD in: Emergency Medicine , trackback
Skull sutures normally found in pediatric patients can make it difficult to differentiate a fracture from normal suture lines.⁷,⁹ CT with sagittal and coronal reformatted series as well as 3-dimensional shaded-surface volume-rendered images can accurately differentiate between fractures and sutures.⁹ Fractures have sharp borders and increase in diameter as they approach sutures. Fractures may cross sutures and can be associated with overlying soft-tissue swelling or hematomas and/or widening of the sutures (diastasis).⁹ In comparison, sutures are usually uniform in diameter, have a zigzag pattern with sclerotic borders, and join with (rather than cross) other sutures.⁹
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