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  1. Article ; Online: Fifteen-minute consultation: Bruising in the premobile child.

    Wallace, Fiona / Collins, Julie-Ann / Talawila Da Camara, Nishanthi / Kemp, Alison Mary / Prosser, Ingrid / Mullen, Stephen

    Archives of disease in childhood. Education and practice edition

    2021  Volume 108, Issue 2, Page(s) 80–85

    Abstract: A bruise in a premobile infant is an uncommon finding and often results in referral to the paediatric or emergency departments, acknowledging the potential for physical abuse in this vulnerable cohort. Our role as clinicians is to undertake a thorough ... ...

    Abstract A bruise in a premobile infant is an uncommon finding and often results in referral to the paediatric or emergency departments, acknowledging the potential for physical abuse in this vulnerable cohort. Our role as clinicians is to undertake a thorough assessment, consider potential differentials and organise appropriate investigations, with involvement of the wider multidisciplinary team. In this article, we use a case vignette to discuss how one would approach a bruise in the premobile infant including the evidence base.
    MeSH term(s) Infant ; Humans ; Child ; Child Abuse/diagnosis ; Contusions/diagnosis ; Contusions/etiology ; Contusions/therapy ; Emergency Service, Hospital ; Physical Abuse ; Referral and Consultation
    Language English
    Publishing date 2021-09-06
    Publishing country England
    Document type Journal Article
    ZDB-ID 2148818-6
    ISSN 1743-0593 ; 1743-0585
    ISSN (online) 1743-0593
    ISSN 1743-0585
    DOI 10.1136/archdischild-2021-321661
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Um IV Zs.106 -E.P.Ed.-: Show issues Location:
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    bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
    ab Jg. 2022: Lesesaal (EG)

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  2. Article ; Online: A timetable for the radiologic features of fracture healing in young children.

    Prosser, Ingrid / Lawson, Zoe / Evans, Alison / Harrison, Sara / Morris, Sue / Maguire, Sabine / Kemp, Alison M

    AJR. American journal of roentgenology

    2012  Volume 198, Issue 5, Page(s) 1014–1020

    Abstract: Objective: Fracture dating significantly shapes decisions in child protection. With a dearth of primary evidence underpinning fracture dating in children, we examined the key radiologic features of fracture healing and their timelines.: Materials and ... ...

    Abstract Objective: Fracture dating significantly shapes decisions in child protection. With a dearth of primary evidence underpinning fracture dating in children, we examined the key radiologic features of fracture healing and their timelines.
    Materials and methods: Digital radiographs of children younger than 72 months old with accidental long bone fractures of known timing were reviewed independently by three pediatric radiologists blinded to the age of the fractures. Six radiologic features of fracture healing were evaluated: soft-tissue swelling, periosteal reaction, soft callus, hard callus, bridging, and remodeling. Interobserver agreement was assessed using kappa analysis.
    Results: Two hundred twenty-eight films of 82 fractures in 63 children (mean age, 4.8 years) were assessed. Soft-tissue swelling was identified by two or more radiologists in 59% of the radiographs at days 1-2 after fractures, and prevalence sharply declined thereafter. Periosteal reaction was first seen at day 5 and was present in 62% of the films obtained between 15 and 35 days after the fracture. Soft callus was first seen at day 12 and was prevalent in 41% between 22 and 35 days. Hard callus and bridging began at day 19, increasing to 60% prevalence from 36 days onward. Remodeling was observed only in fractures 45 days old or more. Kappa scores were between 0.55 and 0.80 overall, with greater agreement when there was no plaster cast.
    Conclusion: The results of this study show that fractures in young children may be dated as acute (< 1 week), recent (8-35 days), or old (≥ 36 days) on the basis of the presence of six key radiologic features in combination. Furthermore, good interobserver agreement suggests these results are reproducible.
    MeSH term(s) Child Abuse/diagnosis ; Child, Preschool ; Cross-Sectional Studies ; Female ; Fracture Healing/physiology ; Fractures, Bone/diagnostic imaging ; Humans ; Infant ; Infant, Newborn ; Male ; Radiography ; Reproducibility of Results ; Risk Factors ; Time Factors
    Language English
    Publishing date 2012-05
    Publishing country United States
    Document type Journal Article
    ZDB-ID 82076-3
    ISSN 1546-3141 ; 0361-803X ; 0092-5381
    ISSN (online) 1546-3141
    ISSN 0361-803X ; 0092-5381
    DOI 10.2214/AJR.11.6734
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Ue I Zs.57: Show issues Location:
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  3. Article: How old is this fracture? Radiologic dating of fractures in children: a systematic review.

    Prosser, Ingrid / Maguire, Sabine / Harrison, Sara K / Mann, Mala / Sibert, Jonathan R / Kemp, Alison M

    AJR. American journal of roentgenology

    2005  Volume 184, Issue 4, Page(s) 1282–1286

    Abstract: Objective: We conducted a systematic review of the literature to define the evidence for radiologic dating of fractures in children in the context of child protection.: Conclusion: Radiologic dating of fractures is an inexact science. Most ... ...

    Abstract Objective: We conducted a systematic review of the literature to define the evidence for radiologic dating of fractures in children in the context of child protection.
    Conclusion: Radiologic dating of fractures is an inexact science. Most radiologists date fractures on the basis of their personal clinical experience, and the literature provides little consistent data to act as a resource. There is an urgent need for research to validate the criteria used in the radiologic dating of fractures in children younger than 5 years.
    MeSH term(s) Child ; Child Abuse/diagnosis ; Child, Preschool ; Fractures, Bone/diagnostic imaging ; Fractures, Bone/pathology ; Humans ; Infant ; Infant, Newborn ; Radiography
    Language English
    Publishing date 2005-04
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Review
    ZDB-ID 82076-3
    ISSN 1546-3141 ; 0361-803X ; 0092-5381
    ISSN (online) 1546-3141
    ISSN 0361-803X ; 0092-5381
    DOI 10.2214/ajr.184.4.01841282
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Ue I Zs.57: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
    ab Jg. 2022: Lesesaal (EG)

    Order via subito

    This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.

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