Evidence map›Paper›PMID 32621014›Full record

ArticlePediatric radiology2020

Bilateral fibular fractures in a pre-ambulant infant.

Michael Paddock, David Horton, Amaka C Offiah

Open access · hybridAbstract readCase Reports
In one paragraph

Article in Pediatric radiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.0field-weighted citation impact, top 22% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 3 institutions in 1 country.

Michael PaddockMedical Imaging Department, Barnsley Hospital NHS Foundation Trust, Gawber Road, Barnsley, UK.
David HortonDepartment of Radiology, Hull University Teaching Hospitals NHS Trust, Hull, UK.
Amaka C OffiahAcademic Unit of Child Health, Sheffield Children's NHS Foundation Trust, University of Sheffield, Damer Street Building, Western Bank, Sheffield, S10 2TH, UK. a.offiah@sheffield.ac.uk.ORCID http://orcid.org/0000-0001-8991-5036
Barnsley Hospital NHS Foundation Trust · GBSheffield Children's NHS Foundation Trust · GBUniversity of Hull · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Multiple long-bone fractures, particularly bilateral fractures, are of moderate specificity for inflicted injury (physical abuse) in infants and young children. Bilateral healing fractures of the fibulae are rare and, depending on age, raise the suspicion of inflicted injury. We report healing undisplaced fractures of both fibulae, in almost identical positions, in a pre-ambulant infant. The caregivers reported that the infant repeatedly banged his legs against the metal frame of his playpen. A video of this mechanism was provided to the instructed radiology expert and showed that the point of impact of the infant's legs against the metal frame was at a similar level to the radiographic abnormalities. This mechanism was therefore believed to be consistent with the injuries, resulting in a diagnosis of self-inflicted bilateral fibular fractures and not of inflicted injury.

Indexed as

FibulaFracture HealingFractures, BoneHumansInfantMaleSelf-Injurious BehaviorFibulaFractureInfantInflicted injuryNonaccidental injuryRadiographySuspected physical abuse

Identifiers

PMID32621014
PMCPMC7497500
OpenAlexW3038407145

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.