Ellerstein N S, Norris K J
Pediatrics. 1984 Dec;74(6):1075-8.
The usefulness of the radiologic skeletal survey in the assessment of children who were suspected of being abused or neglected was studied. During a 2 1/2-year period at one pediatric hospital, 331 skeletal surveys were performed to aid in the evaluation of possible child maltreatment. Of the 331 surveys, 38 (11.5%) showed evidence of trauma. But, in 30 of the 38 skeletal surveys, trauma was either previously known or suspected by the examiner. Therefore, in only eight cases did the skeletal survey provide new information that was helpful in the investigation of possible abuse or neglect which would have remained undiscovered without the skeletal survey. The age, sex, and clinical signs of the subjects were analyzed in an attempt to identify factors that might predict skeletal surveys with positive radiologic findings. Consideration is given to the costs and risks of skeletal surveys v potential benefits.
对放射学骨骼检查在评估疑似受虐待或被忽视儿童方面的实用性进行了研究。在一家儿科医院的两年半时间里，进行了331次骨骼检查，以协助评估可能的儿童虐待情况。在这331次检查中，38次（11.5%）显示有创伤迹象。但是，在这38次骨骼检查中的30次，检查者之前就已知或怀疑有创伤。因此，只有8例骨骼检查提供了有助于调查可能的虐待或忽视情况的新信息，若没有骨骼检查，这些信息可能仍未被发现。对受试者的年龄、性别和临床体征进行了分析，试图确定可能预测骨骼检查有阳性放射学结果的因素。同时考虑了骨骼检查的成本和风险与潜在益处。
