Durchgangsärztliche Diagnostik von Sprunggelenkfrakturen.

Background: Dealing with paediatric trauma is far more than treatment of just small people with the armamentarium of adult care. The aim of this study was the analysis of diagnostic quality in German trauma services using the example of paediatric ankle trauma, which is directed to clarify the need for further specialism in physicians involved in the care of young patients. Methods: Employing a retrospective analysis of documented school or kindergarten accidents over a 10-year period a total of 621 ankle injuries of children up to the age of 13 years were identified. Of these, 433 cases were analysed on the basis of the accident report form and follow-up reports. A correct diagnosis was found in 57.6%, while in 42.4% the diagnosis did not meet requested child-specific standards. Conclusion: The data show that a number of physicians involved in the treatment of paediatric injuries is not sufficiently trained in paediatric injury patterns and potential complications. Establishing requirements in combination with continuous education should help to overcome these shortcomings in paediatric trauma care. [ABSTRACT FROM AUTHOR]