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

Abstract

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. (orig.)
Authors:
Anilkumar, Adikesavalu; Fender, Laura J; Broderick, Nigel J; Somers, John M; Halliday, Katharine E [1] 
  1. Nottingham University Hospital NHS Trust, Department of Radiology, Queen's Medical Centre, Nottingham (United Kingdom)
Publication Date:
Mar 15, 2006
Product Type:
Journal Article
Resource Relation:
Journal Name: Pediatric Radiology; Journal Volume: 36; Journal Issue: 3
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; BIOMEDICAL RADIOGRAPHY; CHEST; CORRELATIONS; DETECTION; INJURIES
OSTI ID:
20715318
Country of Origin:
Germany
Language:
English
Other Identifying Numbers:
Journal ID: ISSN 0301-0449; PDRYA5; TRN: DE06F4182
Availability:
Available from: http://dx.doi.org/10.1007/s00247-005-0054-5
Submitting Site:
DEN
Size:
page(s) 216-218
Announcement Date:
May 04, 2006

Citation Formats

Anilkumar, Adikesavalu, Fender, Laura J, Broderick, Nigel J, Somers, John M, and Halliday, Katharine E. The role of the follow-up chest radiograph in suspected non-accidental injury. Germany: N. p., 2006. Web. doi:10.1007/s00247-005-0054-5.
Anilkumar, Adikesavalu, Fender, Laura J, Broderick, Nigel J, Somers, John M, & Halliday, Katharine E. The role of the follow-up chest radiograph in suspected non-accidental injury. Germany. doi:10.1007/s00247-005-0054-5.
Anilkumar, Adikesavalu, Fender, Laura J, Broderick, Nigel J, Somers, John M, and Halliday, Katharine E. 2006. "The role of the follow-up chest radiograph in suspected non-accidental injury." Germany. doi:10.1007/s00247-005-0054-5. https://www.osti.gov/servlets/purl/10.1007/s00247-005-0054-5.
@misc{etde_20715318,
title = {The role of the follow-up chest radiograph in suspected non-accidental injury}
author = {Anilkumar, Adikesavalu, Fender, Laura J, Broderick, Nigel J, Somers, John M, and Halliday, Katharine E}
abstractNote = {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. (orig.)}
doi = {10.1007/s00247-005-0054-5}
journal = {Pediatric Radiology}
issue = {3}
volume = {36}
place = {Germany}
year = {2006}
month = {Mar}
}