Non-Accidental Trauma Children Flashcards Preview

Arthridities - Tri 5 - Trauma - Tommy > Non-Accidental Trauma Children > Flashcards

Flashcards in Non-Accidental Trauma Children Deck (20)
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1
Q

Why is this deck important to look through?

A

Radiologists are often the first to suspect NAI, so it is important to help save the child from further neglect

2
Q

What must they also be careful to do?

A

Not raise suspicion if not fully confident, can ruin parents lives

3
Q

Where do you report abuse?

A

Child Protective Services

4
Q

What is the most common injury in NAI of children?

A

Cutaneous injury

5
Q

In 30% avg. of children were noted to have ______

A

Fractures (11-55%)

6
Q

What fracture is present in 39-50% of abused infants <18 months old?

A

Metaphyseal fracture (bucket handle fx or corner fx) - PATHOGNOMONIC of NAI

7
Q

What are the most common rib fractures in children which may be present without any bruising?

A

Posterior rib fx

8
Q

Which type of skull fx will raise suspicion of NAI?

A
  • Non parietal skull fx
  • Diastatic suture fx
  • Crosses sutures
  • Depressed fx
9
Q

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)?

A

Scapular fx

Sternal fx

10
Q

What type of injury can be seen up to 7 days post injury?

A

Traumatic periosteal injury

11
Q

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.

A

Rib fractures

12
Q

Which fx do not heal with periosteal reaction and are seen if they are less than 4 weeks old?

A

Metaphyseal and chostochondral junction injuries

13
Q

Which fx do not heal with periosteal reaction and are seen if they are less than 2 weeks old?

A

Skull fractures

14
Q

What types of hemorrhages are highly suspicious of “shaken baby syndrome” and should be views at the highest level of scrutiny?

A

Subdural and Retinal/subretinal

15
Q

What population of children are most at risk for “shaken baby syndrome”?

A

Boys < 1yr

16
Q

What is a key radiographic feature of children which is suspect of NAI?

A

Metaphyseal corner fx [these are sometimes referred to as bucket handle fx of the metaphyses]

17
Q

A metaphyseal corner fracture is induced by what mechanism?

A

Twisting, pulling, forceful shearing injuries [KEY RADIOGRAPHIC FEATURE]

18
Q

What two conditions can be easily confused with NAI?

A
  1. Osteogenesis Imperfecta

2. Skeletal dysplasias

19
Q

What is a key way to differentiate osteogenesis imperfecta from NAI?

A

Presence of osteopenia

20
Q

Bowing deformity is seen in what condition along with slender bones?

A

Osteogenesis Imperfecta