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Literature DB >> 24395377

Skeletal survey normal variants, artefacts and commonly misinterpreted findings not to be confused with non-accidental injury.

Abstract

Radiology plays a key part in the investigation of non-accidental injury. Many normal variants and artefacts can simulate an abnormality associated with non-accidental injury. It is essential that radiologists reporting skeletal surveys in cases of suspected child abuse are aware of these. We present a pictorial essay to aid the reporting radiologist in the differentiation between normal variants or artefacts and true traumatic injury. We show plain film examples of potential pitfalls throughout the body.

Entities: Disease Species

Mesh：

Year: 2014 PMID： 24395377 DOI： 10.1007/s00247-013-2802-2

Source DB: PubMed Journal: Pediatr Radiol ISSN： 0301-0449

39 in total

Skeletal survey normal variants, artefacts and commonly misinterpreted findings not to be confused with non-accidental injury.

1. Os incae: variation in frequency in major human population groups.

2. Double contour, cupping and spurring in roentgenograms of long bones in infants.

3. Spine and spinal cord trauma in the battered child syndrome.

4. Anterior displacement of C2 in children: physiologic or pathologic.

5. Developmental studies on the interparietal part of the human occipital squama.

6. A regional approach to the classic metaphyseal lesion in abused infants: the proximal humerus.

7. Wedging of C-3 in infants and children: usually a normal finding and not a fracture.

8. Metaphyseal fragmentation with physiologic bowing: a finding not to be confused with the classic metaphyseal lesion.

Review 9. Pediatric cervical spine: normal anatomy, variants, and trauma.

10. Radiology of postnatal skeletal development. XII. The second cervical vertebra.

1. The classic metaphyseal lesion and traumatic injury.

2. Concave distal end of ulna metaphysis alone is not a sign of rickets.

3. The metaphyseal collar is also present until later childhood and at birth.

4. Prevalence of metaphyseal injury and its mimickers in otherwise healthy children under two years of age.

5. The added value of a second read by pediatric radiologists for outside skeletal surveys.