BACKGROUND: Computed tomographic (CT) scanning is sensitive in detecting @entity174 in the pediatric @entity1 . @entity174 in the pediatric population rarely require emergent intervention, thus providing time to obtain the optimal imaging study. The objective of this study was to compare pelvic radiographs and abdominal pelvic CT scans of all pediatric @entity130 @entity1 with @entity130 to determine the role of pelvic imaging in the immediate @entity130 resuscitation. METHODS: A retrospective review was performed of pediatric @entity1 (age < 18 years) with a pelvic @entity174 identified from the registry of a Level I pediatric @entity130 center for the period 1993 to 2001. @entity1 with a documented @entity130 and both a pelvic CT scan and pelvic radiograph available for review were extracted for analysis. For this study, all films were re-reviewed by an attending pediatric radiologist, and the abnormalities were categorized by the area of injury. The data were comparatively analyzed according to the area of injury and the soft tissue findings. RESULTS: For the 8-year period, 130 pediatric @entity1 with a pelvic @entity174 were identified, including 103 @entity1 with both a pelvic CT scan and radiographs. Of the 151 @entity174 identified by pelvic CT scan, 81 were also identified by the pelvic radiograph (54%). There were 38 soft tissue @entity1410 noted by pelvic CT scan and only 2 identified by the pelvic radiograph. The greatest discrepancy was noted in comparison of the sacral region (16 abnormal pelvic CT scans vs. 3 abnormal radiographs); the least discrepancy was noted in the evaluation of the hip (6 abnormal pelvic CT scans vs. 5 abnormal radiographs). CONCLUSION: The pelvic radiograph lacked the sensitivity of the pelvic CT scan for detecting @entity174 in all anatomic areas evaluated. Pelvic CT scan also offers additional information regarding soft tissue injury not available on most pelvic radiographs. In the @entity130 @entity1 that will undergo abdominopelvic CT scanning as part of the @entity130 evaluation, a pelvic radiograph may be superfluous. Screening pelvic radiography should be reserved for the rare unstable @entity1 or the @entity1 in whom an abdominopelvic CT scan is not otherwise indicated.

The utility of the pelvic radiograph in the assessment of pediatric XXXX .

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients', 'patient'] @entity1410 :: ('MESH:D006406', 'Disease') :: ['hematomas'] @entity130 :: ('MESH:D014947', 'Disease') :: ['pelvic injury', 'trauma'] @entity174 :: ('MESH:D050723', 'Disease') :: ['fractures', 'fracture', 'pelvic fractures', 'Pelvic fractures']
@entity174 :: (MESH:D050723,Disease) :: ['pelvic fractures']
