Prevalence of Abusive Fractures of the Hands, Feet, Spine, or Pelvis on Skeletal Survey

• DOI: 10.1097/pec.0b013e31827b475e
• Publication Date: 2012-12-31T12:32:57Z
• Authors: Daniel M. Lindberg; Nancy S. Harper; Antoinette L. Laskey; Rachel P. Berger
• Keywords: Occult

Recently, it has been suggested that views of the hands, feet, spine, and pelvis should be omitted from routine skeletal surveys (SSs) because these fractures are rarely identified by SS. Our objective was to describe prevalence or among SSs obtained for children in a large, multicenter population who underwent consultation physical abuse.This retrospective secondary analysis data Examining Siblings To Recognize Abuse research network, consortium 20 U.S. child abuse teams collected all younger than 10 years concerns abuse. This included only index excluded siblings contacts. Consulting physicians reported number those were detected SS.Among 2049 initial SSs, 471 (23.0%) showed at least 1 previously unknown fracture including 49 (10.4%) pelvis. In cases, SS when no other identified.A significant occult, abusive would have missed if had deferred Given risks associated with abuse, routinely radiographic