Abusive skeletal injuries are suspected in injury of nonambulatory child, incompatible injury and explanation, delay in seeking medical attention, multiple fractures, and fall as explained etiology for fracture
Child maltreatment is broad term encompassing abuse (physical, emotional, sexual) and neglect (physical, emotional, medical, educational, supervisional)
Physical abuse is inflicted injury to child
IMAGING
General Features
Nuclear Medicine Findings
Imaging Recommendations
Radiographic Findings
CT Findings
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Reporting Tips
Selected References
Rao R et al: Radiation doses in diagnostic imaging for suspected physical abuse. Arch Dis Child. 104(9):863-8, 2019
Nguyen A et al: Imaging of non-accidental injury; what is clinical best practice? J Med Radiat Sci. 65(2):123-30, 2018
Raynor E et al: The detection of significant fractures in suspected infant abuse. J Forensic Leg Med. 60:9-14, 2018
Bainbridge JK et al: Should bone scintigraphy be used as a routine adjunct to skeletal survey in the imaging of non-accidental injury? A 10 year review of reports in a single centre. Clin Radiol. 70(8):e83-9, 2015
Jackson AM et al: Aspects of abuse: recognizing and responding to child maltreatment. Curr Probl Pediatr Adolesc Health Care. 45(3):58-70, 2015
Sheybani EF et al: Pediatric nonaccidental abdominal trauma: what the radiologist should know. Radiographics. 34(1):139-53, 2014
Kleinman PK et al: Yield of radiographic skeletal surveys for detection of hand, foot, and spine fractures in suspected child abuse. AJR Am J Roentgenol. 200(3):641-4, 2013
van Rijn RR et al: Educational paper: imaging child abuse: the bare bones. Eur J Pediatr. 171(2):215-24, 2012
Meyer JS et al: ACR Appropriateness Criteria on suspected physical abuse-child. J Am Coll Radiol. 8(2):87-94, 2011
Drubach LA et al: Skeletal trauma in child abuse: detection with 18F-NaF PET. Radiology. 255(1):173-81, 2010
Stauss J et al: Guidelines for paediatric bone scanning with 99mTc-labelled radiopharmaceuticals and 18F-fluoride. Eur J Nucl Med Mol Imaging. 37(8):1621-8, 2010
Offiah A et al: Skeletal imaging of child abuse (non-accidental injury). Pediatr Radiol. 39(5):461-70, 2009
Section on Radiology; American Academy of Pediatrics: Diagnostic imaging of child abuse. Pediatrics. 123(5):1430-5, 2009
Related Anatomy
Loading...
Related Differential Diagnoses
Loading...
References
Tables
Tables
KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Clinical Issues
Diagnostic Checklist
TERMINOLOGY
Abbreviations
Nonaccidental trauma (NAT)
Synonyms
Nonaccidental injury (NAI)
Definitions
Abusive skeletal injuries are suspected in injury of nonambulatory child, incompatible injury and explanation, delay in seeking medical attention, multiple fractures, and fall as explained etiology for fracture
Child maltreatment is broad term encompassing abuse (physical, emotional, sexual) and neglect (physical, emotional, medical, educational, supervisional)
Physical abuse is inflicted injury to child
IMAGING
General Features
Nuclear Medicine Findings
Imaging Recommendations
Radiographic Findings
CT Findings
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Reporting Tips
Selected References
Rao R et al: Radiation doses in diagnostic imaging for suspected physical abuse. Arch Dis Child. 104(9):863-8, 2019
Nguyen A et al: Imaging of non-accidental injury; what is clinical best practice? J Med Radiat Sci. 65(2):123-30, 2018
Raynor E et al: The detection of significant fractures in suspected infant abuse. J Forensic Leg Med. 60:9-14, 2018
Bainbridge JK et al: Should bone scintigraphy be used as a routine adjunct to skeletal survey in the imaging of non-accidental injury? A 10 year review of reports in a single centre. Clin Radiol. 70(8):e83-9, 2015
Jackson AM et al: Aspects of abuse: recognizing and responding to child maltreatment. Curr Probl Pediatr Adolesc Health Care. 45(3):58-70, 2015
Sheybani EF et al: Pediatric nonaccidental abdominal trauma: what the radiologist should know. Radiographics. 34(1):139-53, 2014
Kleinman PK et al: Yield of radiographic skeletal surveys for detection of hand, foot, and spine fractures in suspected child abuse. AJR Am J Roentgenol. 200(3):641-4, 2013
van Rijn RR et al: Educational paper: imaging child abuse: the bare bones. Eur J Pediatr. 171(2):215-24, 2012
Meyer JS et al: ACR Appropriateness Criteria on suspected physical abuse-child. J Am Coll Radiol. 8(2):87-94, 2011
Drubach LA et al: Skeletal trauma in child abuse: detection with 18F-NaF PET. Radiology. 255(1):173-81, 2010
Stauss J et al: Guidelines for paediatric bone scanning with 99mTc-labelled radiopharmaceuticals and 18F-fluoride. Eur J Nucl Med Mol Imaging. 37(8):1621-8, 2010
Offiah A et al: Skeletal imaging of child abuse (non-accidental injury). Pediatr Radiol. 39(5):461-70, 2009
Section on Radiology; American Academy of Pediatrics: Diagnostic imaging of child abuse. Pediatrics. 123(5):1430-5, 2009
STATdx includes over 200,000 searchable images, including x-ray, CT, MR, and ultrasound images. To access all images, please log in or subscribe.