@article{ref1,
title="Follow-up skeletal surveys for nonaccidental trauma: can a more limited survey be performed?",
journal="Pediatric radiology",
year="2009",
author="Harlan, Susan R. and Nixon, G. William and Campbell, Kristine A. and Hansen, Karen and Prince, Jeffrey S.",
volume="39",
number="9",
pages="962-968",
abstract="BACKGROUND: Studies have demonstrated the value of the follow-up skeletal survey in identifying additional fractures, clarifying indeterminate findings, and improving dating of skeletal injuries in victims of physical abuse. OBJECTIVE: To determine whether a more limited follow-up survey could yield the same radiologic data as a full follow-up survey. MATERIALS AND METHODS: The study cohort comprised 101 children who had follow-up surveys that met our inclusion criteria. Consensus readings of both original and follow-up surveys were performed by two pediatric radiologists. These results were compared to determine additional findings from the follow-up surveys. Limited skeletal survey protocols were evaluated to determine whether they would detect the same fractures seen with a complete osseous survey. RESULTS: In the 101 children 244 fractures were identified on the initial osseous survey. Follow-up surveys demonstrated new information in 38 children (37.6%). A 15-view limited follow-up survey identified all additional information seen on the complete follow-up survey. CONCLUSION: Our data demonstrate that a 15-view limited follow-up skeletal survey could be performed without missing clinically significant new fractures and still allow proper identification of confirmed fractures or normal findings. A limited survey would decrease radiation dose in children.<p /><p>Language: en</p>",
language="en",
issn="0301-0449",
doi="10.1007/s00247-009-1313-7",
url="http://dx.doi.org/10.1007/s00247-009-1313-7"
}