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The infant with bilateral skull fractures: diagnostic considerations in consultation with a child abuse pediatrician

Bilateral skull fractures in infancy may result from accidental or abusive injury. Consultation with a child abuse pediatrician may assist with determining the likelihood of accident or abuse. Diagnostic considerations for the infant with bilateral skull fractures are reviewed, including single impa...

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Autor principal: A. O’Hara, Mandy
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Kermanshah University of Medical Sciences 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6420920/
https://www.ncbi.nlm.nih.gov/pubmed/30635999
http://dx.doi.org/10.5249/jivr.v11i1.938
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author_facet A. O’Hara, Mandy
author_sort A. O’Hara, Mandy
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description Bilateral skull fractures in infancy may result from accidental or abusive injury. Consultation with a child abuse pediatrician may assist with determining the likelihood of accident or abuse. Diagnostic considerations for the infant with bilateral skull fractures are reviewed, including single impact, double impact, and compression mechanisms of injury, as well as the possibility of accessory sutures as skull fracture mimics. Illustrative cases exemplify the evaluative process, including obtaining a detailed history, assessing for the presence or absence of additional physical or radiographic signs of injury, screening for psychosoical risk, and obtaining three-dimensional reconstruction of CT bone images. An understanding of plausible mechanisms of injury that can result in bilateral skull fractures in infancy can assist with making an accurate determination of likelihood of accident or abuse.
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spelling pubmed-64209202019-03-20 The infant with bilateral skull fractures: diagnostic considerations in consultation with a child abuse pediatrician A. O’Hara, Mandy J Inj Violence Res Injury &Violence Bilateral skull fractures in infancy may result from accidental or abusive injury. Consultation with a child abuse pediatrician may assist with determining the likelihood of accident or abuse. Diagnostic considerations for the infant with bilateral skull fractures are reviewed, including single impact, double impact, and compression mechanisms of injury, as well as the possibility of accessory sutures as skull fracture mimics. Illustrative cases exemplify the evaluative process, including obtaining a detailed history, assessing for the presence or absence of additional physical or radiographic signs of injury, screening for psychosoical risk, and obtaining three-dimensional reconstruction of CT bone images. An understanding of plausible mechanisms of injury that can result in bilateral skull fractures in infancy can assist with making an accurate determination of likelihood of accident or abuse. Kermanshah University of Medical Sciences 2019-01 /pmc/articles/PMC6420920/ /pubmed/30635999 http://dx.doi.org/10.5249/jivr.v11i1.938 Text en http://creativecommons.org/licenses/by/3/ This is an open-access article distributed under the terms of the Creative Commons Attribution 3.0 License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Injury &Violence
A. O’Hara, Mandy
The infant with bilateral skull fractures: diagnostic considerations in consultation with a child abuse pediatrician
title The infant with bilateral skull fractures: diagnostic considerations in consultation with a child abuse pediatrician
title_full The infant with bilateral skull fractures: diagnostic considerations in consultation with a child abuse pediatrician
title_fullStr The infant with bilateral skull fractures: diagnostic considerations in consultation with a child abuse pediatrician
title_full_unstemmed The infant with bilateral skull fractures: diagnostic considerations in consultation with a child abuse pediatrician
title_short The infant with bilateral skull fractures: diagnostic considerations in consultation with a child abuse pediatrician
title_sort infant with bilateral skull fractures: diagnostic considerations in consultation with a child abuse pediatrician
topic Injury &Violence
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6420920/
https://www.ncbi.nlm.nih.gov/pubmed/30635999
http://dx.doi.org/10.5249/jivr.v11i1.938
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