@article{ref1,
title="The role of the follow-up chest radiograph in suspected non-accidental injury",
journal="Pediatric radiology",
year="2006",
author="Anilkumar, Adikesavalu and Fender, Laura J. and Broderick, Nigel J. and Somers, John M. and Halliday, Katharine E.",
volume="36",
number="3",
pages="216-218",
abstract="BACKGROUND: Rib fractures in children under the age of 2 years have a strong correlation with non-accidental injury (NAI). Follow-up radiographs can improve detection. OBJECTIVE: To evaluate the value of the follow-up chest radiograph in suspected non-accidental injury. MATERIALS AND METHODS: The study included all children less than 2 years of age who were investigated for suspected NAI in our institution between January 1998 and October 2003. Prior to January 2000, only selected patients were asked to attend for a follow-up chest radiograph. From January 2000 onwards all children were asked to reattend. RESULTS: Of 200 children included in the study, 59 (29.5%) reattended for a follow-up chest radiograph. The follow-up film provided useful additional information in 7 (12%) of the 59 children. In two children rib fractures were noted only on the follow-up chest radiograph. In a further two patients additional rib fractures were noted. Additional dating information was obtained for two patients. For one child both additional fractures and dating information were noted. CONCLUSIONS: The follow-up chest radiograph provides useful information in children with suspected NAI and it is recommended that it should be included routinely in the imaging investigations of these children.<p /> <p>Language: en</p>",
language="en",
issn="0301-0449",
doi="10.1007/s00247-005-0054-5",
url="http://dx.doi.org/10.1007/s00247-005-0054-5"
}