![]() Metaphyseal fracture (so-called bucket handle fracture or corner fracture) Specific fracturesĪ number of fractures have been recognized as highly specific to non-accidental injuries (rather than accidental injury). Lead markers should be used in skeletal surveys and some institutions will repeat radiographs that do not have a lead marker within the primary field.īone scans are performed in some institutions because of their ability to detect radiographically-occult fractures. The so-called babygram (whereby the entire baby is imaged in one view) is not an acceptable substitute due to the overall lower quality that it produces each anatomical region requires different radiographic exposures to accurately image. History of household falls resulting in fractureĭespite falls being common, fractures are uncommonĪ skeletal survey is performed in cases of suspected abuse to assess and document the extent of skeletal injuries. Multiple fractures with no family history of osteogenesis imperfecta Injury and history given are inconsistent Injury in the non-ambulatory/totally dependent child In 2001 an estimated 903,000 children were victims of maltreatment including:įractures are noted in ~30% (range 11-55%)Ī number of features have been recognized as suspicious: Whilst "Non-Accidental Injury (NAI)" is ubiquitous, Suspected Physical Abuse (SPA) and Inflicted Injury (II) are the preferred terms 10. Over recent years, there have been a number of titles given to the constellation of injuries that are the result of the physical abuse of children.
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