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Diagnostic Imaging Pathways - Non-Accidental Injury

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Teaching Points

  • Situations that evoke suspicion of non-accidental injury in children include -
    • Fractures which raise suspicion for non-accidental injury eg rib fractures in young children and metaphyseal, corner or bucket handle fractures.
    • Skull fractures without a history of trauma
    • Fractures of varying ages
    • Injuries which are not consistent with the history proffered
  • If NAI is suspected it is important to seek specialist advice from a child protection unit at a major tertiary paediatric centre
  • Investigations that may be utilised include plain radiographs, skeletal survey, computed tomography and bone scan

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