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Child protection and radiology

G87. FREQUENCY OF OCCULT SKELETAL AND NEUROLOGICAL INJURIES IN CHILDREN UNDERGOING A SKELETAL SURVEY FOR SUSPECTED NON ACCIDENTAL INJURY
L.J. Fender, N. Broderick, J. Somers, T. Jaspan, N. McConchie, K.H. Halliday.

Queen’s Medical Centre, Nottingham

Aims: To determine the detection rate of occult fractures in patients undergoing a skeletal survey for suspected NAI, the value of routine neurological imaging and the impact of follow up radiographs.

Materials and Methods: Skeletal Surveys of 100 consecutive patients with suspected NAI were retrospectively reviewed. The routine follow up chest X-ray performed at 10 to 14 days was reviewed to assess the detection of further rib fractures not evident on the initial film and to determine if further information to aid the dating of rib fractures became apparent. The findings of neurological imaging were correlated with clinical indicators of intracranial injury.

Results: Clinically unsuspected fractures were detected in 34 patients. Of the 100 patients follow up chest radiographs were performed in 29 patients. In 3 cases (14%) further useful information about dating was . . . [Full text of this article]