%0 Journal Article
%T The role of the follow-up chest radiograph in suspected non-accidental injury
%J Pediatric radiology
%D 2006
%A Anilkumar, Adikesavalu
%A Fender, Laura J.
%A Broderick, Nigel J.
%A Somers, John M.
%A Halliday, Katharine E.
%V 36
%N 3
%P 216-218
%X 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>
%G en
%I Holtzbrinck Springer Nature Publishing Group
%@ 0301-0449
%U http://dx.doi.org/10.1007/s00247-005-0054-5