The value of radionuclide bone scanning in the early recognition of deliberate child abuse

1981 ◽  
Vol 10 (11) ◽  
pp. 621
Author(s):  
Fred Leonard
1980 ◽  
Vol 20 (10) ◽  
pp. 873-875 ◽  
Author(s):  
GERALD M. HAASE ◽  
VICTOR N. ORTIZ ◽  
GEORGE N. SFAKIANAKIS ◽  
THOMAS S. MORSE

PEDIATRICS ◽  
1984 ◽  
Vol 73 (2) ◽  
pp. 166-168
Author(s):  
Paula Kienberger Jaudes

The battered child syndrome consists of a constellation of signs that may be either apparent or covert. Radiographic documentation of unexplained or difficult-to-detect fractures is an important means of establishing a basis for legal intervention in child abuse. One hundred ten children were evaluated with either radiographic surveys or bone scans, and 50 children had both roentgenograms and bone scans. In 40% of the children there was at least one fracture whereas 20% had between two and seven fractures. Among the children who received both skeletal surveys and bone scans, 41 fractures were detected: skeletal survey detected 52% and bone scan detected 88% of those fractures. Children with fractures were more likely to be placed in foster homes than to be returned to the original environment. The presence of single v multiple fractures did not alter the probability of foster placement. It was concluded that fracture documentation is important in determining whether to place abused children in foster homes. Both skeletal surveys and radionuclide bone scanning had high false-negative values. When either test is initially negative and blatant signs of physical abuse are present, both tests should be performed to ensure the greatest probability of fracture detection.


1996 ◽  
pp. 89-99
Author(s):  
F. W. Smith ◽  
P. Thorpe

2003 ◽  
Vol 24 (8) ◽  
pp. 575-583 ◽  
Author(s):  
George Koulouris ◽  
David Connell ◽  
Tim Schneider ◽  
William Edwards

Objective: To describe the imaging features of the normal anatomy and injury of the posterior tibiotalar ligament (PTTL) of the ankle in a group of patients presenting with posteromedial impingement. Materials and Methods: Twenty-five consecutive patients underwent imaging for posteromedial ankle pain following injury. All 25 patients were investigated with MR imaging, 17 with ultrasound and 5 with radionuclide bone scanning. Clinical data and surgical findings were correlated with the results of radiological investigation. Results: The PTTL demonstrated scar formation and a hypertrophic response consistent with previous injury in all 25 patients. Displacement or encasement of the surrounding tendons and their sheaths was often encountered (12/25). Bony avulsion was demonstrated in 5/25 occasions with ultrasound and 2/25 with MR imaging. Twelve patients underwent surgery, confirming the radiological findings. Conclusion: Imaging can effectively evaluate the integrity of the PTTL in the context of ongoing posteromedial ankle pain.


1999 ◽  
Vol 89 (6) ◽  
pp. 292-301 ◽  
Author(s):  
S Yozsa ◽  
B Lehnert ◽  
D Resnick

The authors review various pedal conditions affecting the rearfoot, including plantar fasciitis, Achilles tendon pathology, fractures, arthritides, coalitions, and tumors. Various diagnostic imaging modalities such as routine radiography, radionuclide bone scanning, computed tomography, and magnetic resonance imaging are discussed.


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