TY  - CHAP
M1  - Book, Section
TI  - Skeletal Findings
A1  - Lindberg, Daniel M.
A1  - Chiesa, Antonia
A1  - Miller, Angie L.
A2  - Knoop, Kevin J.
A2  - Stack, Lawrence B.
A2  - Storrow, Alan B.
A2  - Thurman, R. Jason
PY  - 2021
T2  - The Atlas of Emergency Medicine, 5e
AB  - Fractures  are  the  second  most  common  abusive  injury,  behind  only  cutaneous  injuries.  Like  other  abusive  injuries,  fractures  can  be  very  difficult  to  identify  clinically,  and  for  this  reason,  a  radiographic  skeletal  survey  is  recommended  for  most  children  <  24  months  old  (and  for  many  up  to  36  months)  when  abuse  is  being  considered.  To  be  useful,  a  skeletal  survey  needs  to  be  conducted  according  to  published  guidelines,  which  require  high-resolution  technique  and  approximately  20  different  dedicated  films.  When  performed  properly,  a  skeletal  survey  uses  only  0.2  mSv  of  radiation,  so  transfer  to  an  experienced  pediatric  center  is  almost  always  to  be  preferred  over  performing  an  informal  survey  or  a  single-view  “babygram”  that  does  not  conform  to  guidelines.  
SN  - 
PB  - McGraw-Hill
CY  - New York, NY
Y2  - 2024/04/19
UR  - accessemergencymedicine.mhmedical.com/content.aspx?aid=1181050671
ER  -