The role of the follow-up chest radiograph in suspected non-accidental injury

Rib fractures in children under the age of 2 years have a strong correlation with non-accidental injury (NAI). Follow-up radiographs can improve detection. To evaluate the value of the follow-up chest radiograph in suspected non-accidental injury. The study included all children less than 2 years of...

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Published in:Pediatric radiology 2006-03, Vol.36 (3), p.216-218
Main Authors: Anilkumar, Adikesavalu, Fender, Laura J, Broderick, Nigel J, Somers, John M, Halliday, Katharine E
Format: Article
Language:English
Subjects:
Child Abuse
Diagnosis, Differential
Female
Humans
Infant
Infant, Newborn
Male
Radiography, Thoracic
Rib Fractures - diagnostic imaging
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creator Anilkumar, Adikesavalu
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description Rib fractures in children under the age of 2 years have a strong correlation with non-accidental injury (NAI). Follow-up radiographs can improve detection. To evaluate the value of the follow-up chest radiograph in suspected non-accidental injury. The study included all children less than 2 years of age who were investigated for suspected NAI in our institution between January 1998 and October 2003. Prior to January 2000, only selected patients were asked to attend for a follow-up chest radiograph. From January 2000 onwards all children were asked to reattend. Of 200 children included in the study, 59 (29.5%) reattended for a follow-up chest radiograph. The follow-up film provided useful additional information in 7 (12%) of the 59 children. In two children rib fractures were noted only on the follow-up chest radiograph. In a further two patients additional rib fractures were noted. Additional dating information was obtained for two patients. For one child both additional fractures and dating information were noted. The follow-up chest radiograph provides useful information in children with suspected NAI and it is recommended that it should be included routinely in the imaging investigations of these children.
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source Springer Nature:Jisc Collections:Springer Nature Read and Publish 2023-2025: Springer Reading List
subjects Child Abuse
Diagnosis, Differential
Female
Humans
Infant
Infant, Newborn
Male
Radiography, Thoracic
Rib Fractures - diagnostic imaging
title The role of the follow-up chest radiograph in suspected non-accidental injury
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