@article{ref1,
title="Imaging findings in 512 children following all-terrain vehicle injuries",
journal="Pediatric radiology",
year="2009",
author="Shah, Chetan C. and Ramakrishnaiah, Raghu H. and Bhutta, Sadaf T. and Parnell-Beasley, Donna N. and Greenberg, B. S.",
volume="39",
number="7",
pages="677-684",
abstract="BACKGROUND: Injuries related to all-terrain vehicle (ATV) use by children have increased in recent years, and the pattern of these injuries is not well known among radiologists. OBJECTIVE: Our purpose was to identify different radiologically diagnosed injuries in children suffering ATV-related trauma and determine associations among various injuries as well as between injuries and outcome. MATERIALS AND METHODS: The study included 512 consecutive children suffering from ATV injuries treated at a tertiary care pediatric hospital. All imaging studies were reviewed and correlated with injury frequency and outcome using multivariate analysis. RESULTS: Head injuries occurred in 244 children (48%) and in five of six deaths. Calvarial skull fractures occurred in 104 children and were associated with brain, subdural and epidural injuries. Brain and orbit injuries were associated with long-term disability. A total of 227 extremity fractures were present in 172 children (34%). The femur was the most commonly fractured bone. Nine children had partial foot amputations. Multiorgan injuries occurred in nearly half of the 97 children with torso injuries. Determinants for long-term disability or death were head injuries (odds ratio 3.4) and extremity fractures (odds ratio 3.3). CONCLUSION: Head and extremity injuries are the two most common injuries in children suffering ATV injuries and are associated with long-term disability. ATV use by children is dangerous and is a significant threat to child safety.<p /> <p>Language: en</p>",
language="en",
issn="0301-0449",
doi="10.1007/s00247-009-1213-x",
url="http://dx.doi.org/10.1007/s00247-009-1213-x"
}