RT Book, Section
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
SR Print(0)
ID 1181050671
T1 Skeletal Findings
T2 The Atlas of Emergency Medicine, 5e
YR 2021
FD 2021
PB McGraw-Hill
PP New York, NY
SN 9781260134940
LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1181050671
RD 2024/10/06
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.