ArticlePediatric radiology2012
Long bone fracture detection in suspected child abuse: contribution of lateral views.
Article in Pediatric radiology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 30 citations in OpenAlex.
- Outcomes of indeterminate fractures identified on skeletal surveys obtained during non-accidental trauma evaluations.Child abuse & neglect · 2026Article
- When normal looks abnormal: differentiating developmental variants from fractures in skeletal surveys.Pediatric radiology · 2025Article
- Skeletal surveys for suspected infant abuse: patient-specific radiation dose estimation using a hybrid computational phantom.Pediatric radiology · 2025Article
- EPIDEMIOLOGICAL PROFILE OF INJURIES IN PATIENTS WITH HIGH DIAGNOSTIC SUSPICION OF ABUSE.Acta ortopedica brasileira · 2025Article
- A Multispecialty Approach to the Identification and Diagnosis of Nonaccidental Trauma in Children.Cureus · 2022Review
- Fractures of child abuse.Pediatric radiology · 2021Review
- Bilateral fibular fractures in a pre-ambulant infant.Pediatric radiology · 2020Article
- Accuracy of ultrasound in the diagnosis of classic metaphyseal lesions using radiographs as the gold standard.Pediatric radiology · 2020Article
- Ultrasound findings in classic metaphyseal lesions: emphasis on the metaphyseal bone collar and zone of provisional calcification.Pediatric radiology · 2019Article
- Subperiosteal new bone formation with the distal tibial classic metaphyseal lesion: prevalence on radiographic skeletal surveys.Pediatric radiology · 2019Article
- The distal tibial classic metaphyseal lesion: medial versus lateral cortical injury.Pediatric radiology · 2018Article
- The yield of high-detail radiographic skeletal surveys in suspected infant abuse.Pediatric radiology · 2015Article
- Prevalence and relevance of pediatric spinal fractures in suspected child abuse.Pediatric radiology · 2013Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundACR guidelines for routine skeletal survey for child abuse recommend only AP radiographs of the long bones; however, many institutions add lateral radiographs.
objectivesTo evaluate whether adding lateral radiographs for long bones changes the frequency and confidence of fracture detection in skeletal survey radiographs for suspected abuse. MATERIALS AND
methodsWe identified 100 children younger than 2 years of age who underwent skeletal survey for child abuse; 56 with multiple long bone fractures, 22 with a single fracture and 22 with no fractures. Four radiologists (two pediatric radiologists, one pediatric radiology fellow and one general radiologist) evaluated two randomized series (one series included only frontal, and the other series, frontal and lateral radiographs). Likert scale of 1-5 was used to score for detection of metaphyseal and diaphyseal fractures.
resultsFor combined readers, significantly more metaphyseal fractures (P = 0.01) were detected with the two-views series of radiographs compared with the frontal-only view; there was no significant difference for diaphyseal fractures. Confidence was also significantly higher for the two-views series. Kappa improved (from 0.32 to 0.48) when the lateral view was added only for the metaphyseal fractures.
conclusionAdding lateral radiographs resulted in increased detection and confidence levels of metaphyseal fractures.
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