Stöver B
Monatsschr Kinderheilkd. 1986 Jun;134(6):322-7.
The imaging modalities play a key role in the investigation and documentation of the battered child syndrome. The primary diagnostic imaging study in suspected child abuse is either a bone scan and x-ray series or a complete radiographic skeletal survey by x-ray series in babies and infants. In expected intracranial injuries, a CT scan of the head is mandatory; ultrasound has to be performed in order to exclude visceral lesions. The conventional radiographic examination permits us to identify the appearance of the injury (periosteal bleeding and ossification, metaphyseal fragmentation, fracture and epiphysiolysis) as well as the mechanism of the lesion: direct blow, twisting or traction of a limb, compression or shaking. In addition the age of the lesion can be derived from typical healing processes of the skeleton. Furthermore, non accidental skeletal malformations can be detected and may allow the exclusion of child abuse.
成像方式在受虐儿童综合征的调查和记录中起着关键作用。疑似虐待儿童的主要诊断成像研究是骨扫描和X线系列检查，或者是对婴儿和幼儿进行的完整的X线骨骼检查。对于预期的颅内损伤，头部CT扫描是必需的；必须进行超声检查以排除内脏损伤。传统的X线检查使我们能够识别损伤的表现（骨膜出血和骨化、干骺端碎裂、骨折和骨骺分离）以及损伤机制：直接打击、肢体扭转或牵引、压迫或摇晃。此外，损伤的年龄可以从骨骼的典型愈合过程中推断出来。此外，可以检测到非意外性骨骼畸形，这可能有助于排除虐待儿童的情况。
