Non-Accidental Trauma Children Flashcards
Why is this deck important to look through?
Radiologists are often the first to suspect NAI, so it is important to help save the child from further neglect
What must they also be careful to do?
Not raise suspicion if not fully confident, can ruin parents lives
Where do you report abuse?
Child Protective Services
What is the most common injury in NAI of children?
Cutaneous injury
In 30% avg. of children were noted to have ______
Fractures (11-55%)
What fracture is present in 39-50% of abused infants <18 months old?
Metaphyseal fracture (bucket handle fx or corner fx) - PATHOGNOMONIC of NAI
What are the most common rib fractures in children which may be present without any bruising?
Posterior rib fx
Which type of skull fx will raise suspicion of NAI?
- Non parietal skull fx
- Diastatic suture fx
- Crosses sutures
- Depressed fx
What are two other fx that adults may get in MVA that are suspected to be NAI in children, since they can’t drive (DUH)?
Scapular fx
Sternal fx
What type of injury can be seen up to 7 days post injury?
Traumatic periosteal injury
Which types of fx are easily missed and are therefore repeated in 2 weeks after the initial scan to check if there are any healing fx’s.
Rib fractures
Which fx do not heal with periosteal reaction and are seen if they are less than 4 weeks old?
Metaphyseal and chostochondral junction injuries
Which fx do not heal with periosteal reaction and are seen if they are less than 2 weeks old?
Skull fractures
What types of hemorrhages are highly suspicious of “shaken baby syndrome” and should be views at the highest level of scrutiny?
Subdural and Retinal/subretinal
What population of children are most at risk for “shaken baby syndrome”?
Boys < 1yr
