ArticlePediatric radiology2015
The yield of high-detail radiographic skeletal surveys in suspected infant abuse.
Article in Pediatric radiology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
28 citing papers in PubMed, 3 syntheses or guidelines pooled it, 89 citations in OpenAlex.
- ESR Essentials: imaging of suspected child abuse-practice recommendations by the European Society of Paediatric Radiology.European radiology · 2025Guideline
- Identifying Risk Factors of Children Who Suffered Physical Abuse: A Systematic Review.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2025Pooled it
- Skeletal surveys in young, injured children: A systematic review.Child abuse & neglect · 2018Pooled it
- Case report: Bilateral infantile acromion fractures in the setting of congenital glenoid dysplasia.Pediatric radiology · 2026Article
- Rib fracture diagnosis in suspected abuse: Computed tomography or radiographs (RECEPTOR)? A multicentre diagnostic accuracy observational study.European radiology · 2026Observational
- Can metaphyseal variations in the distal femurs and proximal tibias be distinguished from classic metaphyseal lesions?Pediatric radiology · 2025Article
- Costochondral junction variations in children younger than 2 years.Pediatric radiology · 2025Article
- Skeletal surveys for suspected infant abuse: patient-specific radiation dose estimation using a hybrid computational phantom.Pediatric radiology · 2025Article
- Deep generative model of the distal tibial classic metaphyseal lesion in infants: assessment of synthetic images.Radiology advances · 2024Article
- Cough-induced rib fractures: A comprehensive analysis of 90 patients in a single center.Turk gogus kalp damar cerrahisi dergisi · 2024Article
- Dating birth-related clavicular fractures: pediatric radiologists versus artificial intelligence.Pediatric radiology · 2023Article
- Multi-modality imaging characteristics of costochondral fractures, a highly specific rib fracture for child abuse.Pediatric radiology · 2022Article
- Machine learning to identify distal tibial classic metaphyseal lesions of infant abuse: a pilot study.Pediatric radiology · 2022Article
- Whole-body MR imaging in suspected physical child abuse: comparison with skeletal survey and bone scintigraphy findings from the PEDIMA prospective multicentre study.European radiology · 2021Article
- A call to action: education of radiology residents in child abuse imaging.Pediatric radiology · 2021Article
- Prevalence and distribution of occult fractures on skeletal surveys in children with suspected non-accidental trauma imaged or reviewed in a tertiary Dutch hospital.Pediatric surgery international · 2020Article
- Accuracy of ultrasound in the diagnosis of classic metaphyseal lesions using radiographs as the gold standard.Pediatric radiology · 2020Article
- Characteristics of rib fractures in young abused children.Pediatric radiology · 2020Article
- Bone Scintigraphy After a Negative Radiological Skeletal Survey Improves the Detection Rate of Inflicted Skeletal Injury in Children.Frontiers in pediatrics · 2020Article
- Subperiosteal new bone formation with the distal tibial classic metaphyseal lesion: prevalence on radiographic skeletal surveys.Pediatric radiology · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSkeletal surveys are routinely performed in cases of suspected child abuse, but there are limited data regarding the yield of high-detail skeletal surveys in infants.
objectiveTo determine the diagnostic yield of high-detail radiographic skeletal surveys in suspected infant abuse. MATERIAL AND
methodsWe reviewed the high-detail American College of Radiology standardized skeletal surveys performed for suspected abuse in 567 infants (median: 4.4 months, SD 3.47; range: 4 days-12 months) at a large urban children's hospital between 2005 and 2013. Skeletal survey images, radiology reports and medical records were reviewed. A skeletal survey was considered positive when it showed at least one unsuspected fracture.
resultsIn 313 of 567 infants (55%), 1,029 definite fractures were found. Twenty-one percent (119/567) of the patients had a positive skeletal survey with a total of 789 (77%) unsuspected fractures. Long-bone fractures were the most common injuries, present in 145 children (26%). The skull was the site of fracture in 138 infants (24%); rib cage in 77 (14%), clavicle in 24 (4.2%) and uncommon fractures (including spine, scapula, hands and feet and pelvis) were noted in 26 infants (4.6%). Of the 425 infants with neuroimaging, 154 (36%) had intracranial injury. No significant correlation between positive skeletal survey and associated intracranial injury was found. Scapular fractures and complex skull fractures showed a statistically significant correlation with intracranial injury (P = 0.029, P = 0.007, respectively).
conclusionPreviously unsuspected fractures are noted on skeletal surveys in 20% of cases of suspected infant abuse. These data may be helpful in the design and optimization of global skeletal imaging in this vulnerable population.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.