Radiological dating of fractures

Posted by / 28-Dec-2019 09:04

Radiological dating of fractures

Purpose To create a timetable for dating long bone fractures in infants aged less than 1 year using previously defined radiographic signs of fracture healing.Materials and methods A retrospective cross-sectional time series of long bone fractures in infants aged less than 1 year was conducted from 2006 to 2013.Thirty-nine infants with rib fractures were identified. Three (7.7%) were attributable to accidental injuries, 1 (2.6%) was secondary to birth trauma, and 3 (7.7%) were attributable to bone fragility.All 3 infants with fractures from accidental injury had sustained notable trauma (a motor vehicle collision, a forceful direct blow, and a fall from a height).Charts were then reviewed by 2 senior investigators (C. These included injuries attributable to shaken baby syndrome, such as subdural hemorrhages or retinal hemorrhages, unexplained internal injuries, or other fractures considered specific for abuse.Child abuse was also diagnosed whenever there had been a confession by the perpetrator.Knowledge regarding clinical features and imaging findings may help to differentiate abused infants from those who are not abused.In addition, there should be familiarity with the prevalence and presentation of conditions that can be mistaken for abuse.

Detailed information on how Wiley uses cookies can be found in our Privacy Policy.Although rib fractures in infants are relatively uncommon, they are significant when identified because they frequently indicate abuse.Most rib fractures in infants are thought to result from anterior–posterior compression of the chest, often associated with shaking. Rib fractures are uncommon in infancy and, when diagnosed, often raise the suspicion of child abuse.However, the prevalence of other causes of rib fractures has not been well defined.

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A determination of abuse was made when there were other injuries indicative of abuse, there was no clinical or radiographic evidence of bone fragility, there was a confession of abuse, when no reasonable history of trauma was provided, or when the history was not plausible to explain the rib fractures.

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