Prevalence and distribution of occult fractures on skeletal surveys in children with suspected non-accidental trauma imaged or reviewed in a tertiary Dutch hospital
In: Pediatric Surgery International, Jg. 36 (2020-06-01), Heft 9, S. 1009-1017
Online
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Purpose The purpose of the study was to determine the rate of occult fractures (without clinical symptoms) per presenting clinical injury i.e., children presenting with a fracture, bruise, abusive head trauma and the types of fracture most likely to be found, in a series of infants and young children suspected of being victims of NAT. Methods Skeletal surveys done between 2008 and 2018 of children ( Results A total of 370 skeletal surveys of 296 children were included. Median age was 22 weeks (IQR 11–48), there were 172 (58%) boys. A total of 195 occult fractures were detected in 111 (32%) children. Occult fractures were detected in 37/126 (29%) children with fracture as presenting symptom, 33/90 (37%) children with head trauma and 26/50 (52%) children with bruises. Rib (n = 56, 50%) and lower leg (n = 40, 36%) fractures were most detected. Conclusion Occult fractures were detected in 32% of the children. Occult fractures were most prevalent if the initial clinical injury suggestive for NAT to request skeletal survey was a bruise, abusive head trauma or fracture.
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Prevalence and distribution of occult fractures on skeletal surveys in children with suspected non-accidental trauma imaged or reviewed in a tertiary Dutch hospital
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Autor/in / Beteiligte Person: | Rick R. van Rijn ; Ahmed, Tayiba ; Marie Louise H.J. Loos ; Bakx, Roel ; School, Graduate ; APH - Global Health ; APH - Methodology ; APH - Quality of Care ; Amsterdam Reproduction & Development (AR&D) ; Surgery, Paediatric ; Radiology and Nuclear Medicine ; Research, Other ; Pediatrics ; Radiology and nuclear medicine |
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Zeitschrift: | Pediatric Surgery International, Jg. 36 (2020-06-01), Heft 9, S. 1009-1017 |
Veröffentlichung: | Springer Berlin Heidelberg, 2020 |
Medientyp: | unknown |
ISSN: | 1437-9813 (print) ; 0179-0358 (print) |
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