Authors: Michael Fadell Angie Miller Laszlo Trefan Jason Weinman Jaime Stewart Kari Hayes Sabine Maguire
Publish Date: 2016/09/15
Volume: 27, Issue: 5, Pages: 2180-2187
Abstract
Given the frequency of abusive fractures among infants and the lack of research and or evidence for the phases of fracture healing seen in this age group this study aims to describe a timetable of radiological features of fracture healing among infants in the first months of lifeWe completed a retrospective crosssectional timeseries study of birthrelated clavicle fractures from 2006–2013 A total of 108 digital images were available for review from 61 infants The presence or absence of four features of healing including periosteal reaction callus formation bridging callus and remodelling were scored by three radiologistsThe level of agreement between the radiologists was good to high 060–090 Features of healing were first seen at 7 days periosteal reaction 11 days callus 20 days bridging and 35 days remodelling respectively The peak periods that each feature was present are as follows periosteal reaction 11–42 days callus 12–61 days bridging 22–63 days and remodelling 49–59 daysThe scientific guarantor of this publication is Sabine Maguire MBBCh MRCPI FRCPCH The authors of this manuscript declare no relationships with any companies whose products or services may be related to the subject matter of the article The authors state that this work has not received any funding One of the authors Laszlo Trefan PhD has significant statistical expertise Institutional Review Board approval was obtained Written informed consent was waived by the Institutional Review Board Methodology retrospective observational/experimental performed at one institution
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