This version was machine-translated from German and has not been medically reviewed. The authoritative version is the German version.
Amsterdam Pediatric Wrist Rules: radiography after wrist injury in children
Age and 5 findings after wrist injury (3 to 17 years) – probability of a fracture of the distal forearm, X-ray from 23 % (Slaar 2016)
Calculation aid for healthcare professionals: the calculator reproduces what the sources cited assign to the inputs. Clinical assessment and every treatment decision remain with the treating physician. Inputs and results are not stored.
Frequently asked questions
Amsterdam Pediatric Wrist Rules: radiography after wrist injury in children: What does this calculator compute?
Amsterdam Pediatric Wrist Rules (Slaar 2016) for children aged 3 to under 18 years after acute wrist injury: a logistic model calculates the probability of a fracture of the distal forearm from age, swelling and tenderness of the distal radius, visible deformity, tenderness in the anatomical snuffbox and painful supination. From 23 %, the rule recommends an X-ray (sensitivity 95.9 %, specificity 37.3 %).
Amsterdam Pediatric Wrist Rules: radiography after wrist injury in children: Which sources is this calculator based on?
Slaar A, Walenkamp MMJ, Bentohami A, et al.: A clinical decision rule for the use of plain radiography in children after acute wrist injury: development and external validation of the Amsterdam Pediatric Wrist Rules (Pediatr Radiol 46:50–60) (2016); Mulders MAM, Walenkamp MMJ, Slaar A, et al.: Implementation of the Amsterdam Pediatric Wrist Rules (Pediatr Radiol 48:1612–1620) (2018)