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 - 2024/10/15 UR - accessemergencymedicine.mhmedical.com/content.aspx?aid=1181050671 ER -