Comparison of visual and radiographic detection of bony changes at the knee joint.

Abstract

acute traumatic intracranial haematoma at all ages. Children with head injury can be managed by guidelines similar to those already used in adults, but to improve outcome even more patients should be investigated by computed tomography soon after injury. We therefore recommend that a patient with head injury who has either a persisting alteration in conscious level or a skull fracture should be investigated by computed tomography. The figure shows how this might be achieved through coordinated efforts by neurosurgical units and general hospitals with facilities for computed tomography. The box shows guidelines proposed as a basis for formulating new, locally agreed criteria for managing children and adults with head injuries.