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

G. M. Haase, V. N. Ortiz, George N Sfakianakis, T. S. Morse

Research output: Contribution to journalArticle

26 Citations (Scopus)

Abstract

Forty-four children suspected of having been abused underwent Tc-99m diphosphonate bone imaging at the time of initial presentation for treatment of trauma or burns. Twenty-six had negative scans. These patients never showed X-ray evidence of skeletal injury although ten were abuse victims. Two skull fractures were found on X-ray examination when the scan was normal. Initial roentgenograms confirmed the presence of bone injury in 11 children with positive scans. Five of seven children with positive scans and normal initial X-rays developed bone or periosteal lesions visible on later X-ray studies. One of the remaining two children was lost to further study and the other had a history suggesting a prior injury which might have healed sufficiently to yield normal X-rays. In the study of children suspected of having been physically abused, the skull should be X-rayed and a bone scan performed. The scan can identify which additional bony areas to study roentgenographically on the day of first medical encounter, and which areas to re-study should the initial roentgenograms appear normal. Bone scanning, using technetium 99m diphosphonate is more sensitive than the roentgenographic skeletal survey in detecting early evidence of bone or periosteal injury. The evidence thus obtained is useful for protecting children from further abuse, either by court action or, more commonly, by effective counselling after the abuser's denial has been overcome.

Original languageEnglish
Pages (from-to)873-875
Number of pages3
JournalJournal of Trauma
Volume20
Issue number10
StatePublished - Jan 1 1980
Externally publishedYes

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Child Abuse
Radioisotopes
Bone and Bones
X-Rays
Wounds and Injuries
Judicial Role
Skull Fractures
Technetium
Burns
Skull
Counseling
History

ASJC Scopus subject areas

  • Surgery

Cite this

Haase, G. M., Ortiz, V. N., Sfakianakis, G. N., & Morse, T. S. (1980). The value of radionuclide bone scanning in the early recognition of deliberate child abuse. Journal of Trauma, 20(10), 873-875.

The value of radionuclide bone scanning in the early recognition of deliberate child abuse. / Haase, G. M.; Ortiz, V. N.; Sfakianakis, George N; Morse, T. S.

In: Journal of Trauma, Vol. 20, No. 10, 01.01.1980, p. 873-875.

Research output: Contribution to journalArticle

Haase, GM, Ortiz, VN, Sfakianakis, GN & Morse, TS 1980, 'The value of radionuclide bone scanning in the early recognition of deliberate child abuse', Journal of Trauma, vol. 20, no. 10, pp. 873-875.
Haase GM, Ortiz VN, Sfakianakis GN, Morse TS. The value of radionuclide bone scanning in the early recognition of deliberate child abuse. Journal of Trauma. 1980 Jan 1;20(10):873-875.
Haase, G. M. ; Ortiz, V. N. ; Sfakianakis, George N ; Morse, T. S. / The value of radionuclide bone scanning in the early recognition of deliberate child abuse. In: Journal of Trauma. 1980 ; Vol. 20, No. 10. pp. 873-875.
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