Distal Radius Buckle Fracture Detection on Pediatric Radiograph

Purpose	Detection of buckle fracture of distal radius on pediatric wrist radiograph
Tag(s)	Distal radius, buckle fracture, torus fracture, incomplete fracture
Panel	Musculoskeletal Panel
Define-AI	19050026
Originator	Rasto Osadsky
Lead	Allan Chiunda
Panel Chair	Jay Patti
Panel Reviewers	Musculoskeletal Panel
License	Creative Commons 4.0
Status	Public Commenting
RadElement Set	RDES107

Clinical Implementation

Value Proposition

Buckle or torus fractures are common pediatric injuries that can be subtle and challenging to detect. The appropriate identification of these fractures is important for the appropriate treatment. AI can augment the ability to detect these fractures.

Narrative(s)

A 5 year old boy with distal forearm pain after fall on outstretched hand from monkey bars at the playground.

Workflow Description

Images obtained from the radiography unit are sent to PACS and the AI engine. The images are analyzed by AI. Coordinates of areas of interest are highlighted. The radiologist confirms the finding and reports the findings. False positives and negatives are recorded for continued training.

Considerations for Dataset Development

Procedures	{Forearm radiogram}
View(s)	{AP/Lateral/Oblique forearm}
Sex at Birth	{Male, Female}
Age	[0,12]

Technical Specifications

Inputs

DICOM Study

Procedure	Forearm radiograph
Views	AP, lateral and oblique views
Data Type	DICOM
Modality	Radiograph
Body Region	Upper Extremity
Anatomic Focus	Forearm, distal radius

Primary Outputs

Forearm Distal Radius Buckle Fracture Detection

RadElement ID	RDE689
Definition	Subtle cortical deformity, buckling or angulation in the distal radius
Data Type	Categorical
Value Set	Absent Present Unknown
Units	N/A

Related Datasets

No known related public datasets at this time, please us alert us if you know of any.