ArticlePediatric radiology2019
Prevalence of metaphyseal injury and its mimickers in otherwise healthy children under two years of age.
Article in Pediatric radiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.
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Who cites it
6 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.
- The incidence of fractures in children under two years of age: a systematic review.BMC musculoskeletal disorders · 2024Pooled it
- Can metaphyseal variations in the distal femurs and proximal tibias be distinguished from classic metaphyseal lesions?Pediatric radiology · 2025Article
- Article
- Incidence, pattern and mechanisms of injuries and fractures in children under two years of age.BMC musculoskeletal disorders · 2021Article
- Percutaneous fixation of neonatal humeral physeal fracture: A case report and review of the literature.World journal of clinical cases · 2020Article
- Accuracy of ultrasound in the diagnosis of classic metaphyseal lesions using radiographs as the gold standard.Pediatric radiology · 2020Article
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMetaphyseal lesions in infants and toddlers are believed to have a high specificity for inflicted injury.
objectivesTo examine the prevalence of metaphyseal injury and its mimickers in otherwise healthy children younger than 2 years of age. MATERIALS AND
methodsDuring 2010-2015, all children 2 years old and younger seen at the Accident and Emergency (A&E) Department due to an injury who had radiographs taken were included. Information on mechanism and clinical findings were drawn from the medical notes. All radiographs were reviewed by two of five researchers together with an experienced paediatric radiologist, registering fracture site and type, and metaphyseal appearances.
resultsFour hundred and eight children (212 boys) (mean age: 17.7 months, range: 3-24 months) were included, of whom 149 (77 boys) had a total of 162 fractures (incidence of 5.4 per 1,000 children). Only one metaphyseal lesion, without a history of trauma, was seen. Of the 860 metaphyses analysed, 140 (16.3%) were defined as either irregular (74/860, 8.6%) or as having a metaphyseal collar (66/860, 7.7%). Sixty-four of the 66 collars (97.0%) and 54/104 irregularities (60.8%) were located around the wrist and the ankle, while 25/74 irregularities (33.8%) were found around the knee joint.
conclusionMetaphyseal lesions with a history of trauma did not occur in otherwise healthy neonates and infants younger than 2 years of age, indicating that this type of fracture has a particular trauma mechanism. Metaphyseal irregularities/collars are frequently seen and should not be mistaken for a classic metaphyseal lesion.
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