Small lesion, high risk: AI on pediatric fractures with medicolegal impact (study results, November 2025)

A single-center study in Leipzig (125 children aged 2 to 17) measured the standalone performance of Milvue's AI on four fracture types with high medicolegal stakes. Sensitivity reached 100% for trampoline fractures of the proximal tibia, 81% for the ulnar fracture of Monteggia lesions and 73% for lateral humeral condyle fractures, with specificity near 100% at the knee and ankle. The authors call for higher sensitivity on elbow dislocations, where only 2% of radial head dislocations were flagged.

"Small lesion-high risk: diagnostic performance of artificial intelligence in paediatric fractures with medicolegal impact", Pediatric Radiology, by Johanna Pape, Oliver Johannes Deffaa, Peter Zimmermann, Martin Lacher, Franz Wolfgang Hirsch & Daniel Gräfe.

Read the full study here: https://link.springer.com/article/10.1007/s00247-025-06456-3