Article
Family Studies
Reena Isaac, Christopher Greeley, Mark Marinello, Bruce E. Herman, Terra N. Frazier, Christopher L. Carroll, Veronica Armijo-Garcia, Matthew Musick, Kerri Weeks, Suzanne B. Haney, Ming Wang, Kent P. Hymel
Summary: This study aimed to determine the positive yields of radiologic skeletal surveys in young patients with skull fractures presumed to be at low vs. high risk for abuse. The results showed that only one low risk patient had findings indicative of abuse, and two other low risk patients had metabolic bone disease confirmed.
CHILD ABUSE & NEGLECT
(2023)
Article
Medicine, Legal
Katharina Feld, Tim Ricken, Dustin Feld, Janine Helmus, Maria Hahnemann, Sebastian Schenkl, Holger Muggenthaler, Heidi Pfeiffer, Sibylle Banaschak, Bernd Karger, Daniel Wittschieber
Summary: This study retrospectively investigated 72 cases of children diagnosed with SBS and found that SBS is often accompanied by other forms of physical abuse, highlighting the importance of complete skeletal surveys in cases of suspected child abuse.
INTERNATIONAL JOURNAL OF LEGAL MEDICINE
(2022)
Review
Orthopedics
Lucas Annabell, Benjamin J. Shore, Daniel J. Hedequist, Grant D. Hogue
Summary: The treatment strategies for diaphyseal humerus fractures in the pediatric population depend on various factors such as injury pattern, mechanism, skeletal maturity, and size. Treatment options include closed reduction with immobilization techniques, flexible nails, external fixation, or plate osteosynthesis. Alignment parameters vary based on age and potential for remodeling, and the shoulder joint's multiplanar motion allows for greater variations in alignment compared to other long bone fractures. Complications like radial nerve palsy and mal/nonunions can occur. Comprehensive evaluation of the patient, fracture, local soft tissues, and concomitant injuries should guide treatment decisions.
JOURNAL OF THE AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS
(2023)
Article
Radiology, Nuclear Medicine & Medical Imaging
C. Granata, G. Frija, J. Damilakis, S. J. Foley, T. De Bondt, C. M. Owens
Summary: The survey results indicate a lack of effective and widespread adoption of imaging referral guidelines, especially in children. Further efforts are needed to improve the uptake and awareness of referral guidelines.
EUROPEAN RADIOLOGY
(2021)
Article
Radiology, Nuclear Medicine & Medical Imaging
Maia Proisy, Pierre-Hugues Vivier, Baptiste Morel, Bertrand Bruneau, Catherine Sembely-Taveau, Solene Vacheresse, Anne Devillers, Joseph Lecloirec, Caroline Bodet-Milin, Marine Dubois, Stephanie Hamonic, Emma Bajeux, Anne Ganivet, Catherine Adamsbaum, Catherine Treguier
Summary: When assessing suspected child abuse, whole-body magnetic resonance imaging and bone scintigraphy, in addition to skeletal survey, can improve the accuracy of identifying traumatic bone lesions and soft-tissue injuries.
EUROPEAN RADIOLOGY
(2021)
Article
Radiology, Nuclear Medicine & Medical Imaging
Spencer Kriss, James Morris, Vesna Martich
Summary: The study aimed to assess the incidence of pediatric skull fractures contacting cranial sutures in abusive versus accidental trauma. It found that skull fractures contacting cranial sutures are common in both abusive and accidental pediatric head trauma, but contacting two or more sutures is significantly more associated with abusive injuries than accidental ones.
AMERICAN JOURNAL OF ROENTGENOLOGY
(2021)
Article
Radiology, Nuclear Medicine & Medical Imaging
Andy Tsai, Jeannette Perez-Rossello, Susan A. Connolly, Kosuke Kawai, Paul K. Kleinman
Summary: The primary pattern of CCJ rib fractures is commonly bucket-handle pattern, with secondary patterns being growth disturbance and sclerosis. Most fractures exhibit a primary pattern on initial diagnosis, but the visibility decreases significantly on follow-up approximately two weeks later, while the secondary patterns remain relatively stable in visibility during initial and follow-up examinations.
AMERICAN JOURNAL OF ROENTGENOLOGY
(2021)
Review
Pediatrics
Christian Vogelberg, Francisco Cuevas Schacht, Christopher P. Watling, Laura Upstone, Georg Seifert
Summary: This study aims to identify therapeutic principles and unmet needs in the treatment of pediatric cough internationally and consider the evidence required to address these unmet needs. It found that there are differences in the definitions and treatment methods for pediatric cough among guidelines and experts, and there is a lack of evidence for the management of acute pediatric cough. There is a need for more accurate diagnostic criteria and treatment principles for acute pediatric cough, as well as more randomized controlled trials for new and existing treatments.
Article
Pediatrics
Hallie J. Quiroz, Jason J. Yoo, Liann C. Casey, Brent A. Willobee, Anthony R. Ferrantella, Chad M. Thorson, Eduardo A. Perez, Juan E. Sola
Summary: This study stratified fractures associated with child abuse by the child's age and found age-related patterns in fracture distribution, suggesting a changing mechanism of abuse as a child grows. These patterns may aid in healthcare detection of child abuse to prevent further harm.
JOURNAL OF PEDIATRIC SURGERY
(2021)
Article
Pediatrics
Andy Tsai, Jeannette M. Perez-Rossello, Kirsten Ecklund, Michele M. Walters, Paul K. Kleinman
Summary: This study aimed to determine the accuracy of radiologists in dating birth-related clavicle fractures and compare their performance to that achieved by a computer algorithm. The results showed that three experienced pediatric radiologists had moderate to good intra- and inter-reader agreements in dating clavicle fractures. Compared to the radiologists, the deep-learning (DL) model had a lower mean absolute error and showed better correlation with the ground truth.
PEDIATRIC RADIOLOGY
(2023)
Article
Health Care Sciences & Services
Hanan F. Alharbi, Fatchima L. Moussa
Summary: This study investigated the knowledge and attitude of pediatric nurses in Riyadh City, Saudi Arabia towards child abuse. The results showed that the nurses had adequate knowledge and held a positive attitude towards identifying and preventing child abuse. It was found that nurses between the ages of 31 and 40 had a better understanding of child abuse, while nurses with less experience and those who had dealt with child abuse victims had a more favorable attitude.
JOURNAL OF MULTIDISCIPLINARY HEALTHCARE
(2023)
Article
Emergency Medicine
Michelle M. Dominguez, Jessica L. Moore, Megan Cook, Michelle L. Rogers, Kathleen McCarten, Brett Slingsby
Summary: The study found that most infant skull fractures occur accidentally, therefore a skeletal survey may not be necessary for every infant. Obtaining a comprehensive medical history, conducting a thorough examination, and consulting with a child abuse pediatrician are effective steps in evaluating physical abuse in infants with skull fractures.
PEDIATRIC EMERGENCY CARE
(2022)
Article
Emergency Medicine
Reto Bataenjer, Michael Grotzer, Michelle Seiler
Summary: This study compared the frequency of abuse detection in institutions with mandatory skeletal surveys for infants with fractures to that in institutions with discretionary referral to child protection teams. The results showed that the abuse detection rate is lower in institutions with discretionary referral to child protection teams.
PEDIATRIC EMERGENCY CARE
(2022)
Article
Criminology & Penology
Lois W. Sayrs, J. Bryce Ortiz, David M. Notrica, Lisa Kirsch, Cara Kelly, Rachael Stottlemyre, Aaron Cohen, Shivani Misra, Tabitha R. Green, P. David Adelson, Jonathan Lifshitz, Rachel K. Rowe
Summary: This study found that intimate partner violence (IPV) is an associated risk factor for pediatric abusive head trauma (AHT), particularly in infants under 12 months old. Identifying IPV along with other family factors in medical settings can improve detection and surveillance of AHT, leading to a reduction in injury, disability, and death.
JOURNAL OF INTERPERSONAL VIOLENCE
(2022)
Article
Clinical Neurology
Juan A. Piantino, Christopher M. Ruzas, Craig A. Press, Subramanian Subramanian, Binod Balakrishnan, Ashok Panigrahy, David Pettersson, John A. Maloney, Arastoo Vossough, Alexis Topjian, Matthew P. Kirschen, Lesley Doughty, Melissa G. Chung, David Maloney, Tamara Haller, Anthony Fabio, Ericka L. Fink
Summary: The specific indications, timing, and sequences of brain MRI in neuroprognostication after pediatric CA remain unknown. The lack of standardized clinical pathways and variability in reported practices highlight the need for higher-quality evidence in this field.
PEDIATRIC NEUROLOGY
(2022)