NAI Flashcards
(9 cards)
When will you see a callus formation?
7-14 days old
When will you see no callus?
up to 14 days old
What is a suspicious history?
fractures at various stages of healing
skull fractures - multiple eggshell fractures
What fractures are high specificity for child abuse?
Bucket handle or corner fx ribs posterior metaphyseal fractures torus fx or buckle fractures acromion spinous processes sternum
What x-ray is requested for an NAI?
skeletal survey
Why are f/u xrays after 2 weeks done after skeletal surveys?
To see if bony calluses are formed
What happens in a bucket handle fx?
Bone actually sears off the epiphyseal plate. Similar to a corner fx.
What happens in a corner fracture?
You just pull a little bone off, like you do on a fifth toe and thumb
What additionally views do you do for an NAI paed skull fracture?
CT because it will show resolved blood at the edge of the brain.