How common are rib fractures in extremely low birth weight preterm infants?

Smurthwaite, Denise; Wright, Naomi; Russell, Shelly; Emmerson, A J B; Mughal, M. Zulf

doi:10.1136/adc.2007.136853

Cited by 28 publications

(12 citation statements)

References 7 publications

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“…In another series of VLBW infants, the prevalence of MBD was 40% in breastfed infants compared with 16% of those fed with a preterm formula supplemented with calcium and phosphorus 14 , 15 . A retrospective review of 72 ELBW infants who survived > 4 weeks between 1998 and 2002 revealed 7% (5/72) incidence of radiologically apparent rib fractures 16 . Mitchell et al, in a recent study (2006–2007), selectively screened 32 ELBW infants with ALP level > 800 IU/L for radiological rickets 4 .…”

Section: Discussionmentioning

confidence: 99%

Metabolic Bone Disease

Viswanathan

Khasawneh

Dykstra

et al. 2013

J Parenter Enteral Nutr

111

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Section: Discussionmentioning

confidence: 99%

Metabolic Bone Disease

Viswanathan

Khasawneh

Dykstra

et al. 2013

J Parenter Enteral Nutr

111

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“…Posterior rib fractures, although rare and only in cases of difficult labour or large babies, have been reported after vaginal delivery [68]. Rib fractures are well described in metabolic bone disease of prematurity or other metabolic disorders and skeletal dysplasias [16, 59]. In these cases, rib fractures are seldom the only abnormal finding; family history, physical examination or the skeletal survey show indications for an underlying disorder or, e.g.…”

Section: Fracturesmentioning

confidence: 99%

Educational paper

Rijn

Sieswerda‐Hoogendoorn

2011

Eur J Pediatr

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Fractures are reported to be the second most common findings in child abuse, after skin lesions such as bruises and contusions. This makes careful interpretation of childhood fractures in relation to the provided clinical history important. In this literature review, we address imaging techniques and the prevailing protocols as well as fractures, frequently seen in child abuse, and the differential diagnosis of these fractures. The use of a standardised protocol in radiological imaging is stressed, as adherence to the international guidelines has been consistently poor. As fractures are a relatively common finding in childhood and interpretation is sometimes difficult, involvement of a paediatric radiologist is important if not essential. Adherence to international guidelines necessitates review by experts and is therefore mandatory. As in all clinical differential diagnoses, liaison between paediatricians and paediatric radiologists in order to obtain additional clinical information or even better having joint review of radiological studies will improve diagnostic accuracy. It is fundamental to keep in mind that the diagnosis of child abuse can never be solely based on radiological imaging but always on a combination of clinical, investigative and social findings. The quality and interpretation, preferably by a paediatric radiologist, of radiographs is essential in reaching a correct diagnosis in cases of suspected child abuse.

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“…Discerning abusive versus accidental rib fractures in extremely premature infants can be especially difficult. These infants are at higher risk for abuse given their special medical needs, but also are at increased risk for fractures secondary to osteopenia (45).…”

Section: Abdominal Traumamentioning

confidence: 99%

Child abuse and neglect

2011

J Indian Soc Pedod Prev Dent

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Child abuse and neglect are important public health problems and recent estimates of their prevalence suggest that they are considerably more common than had hitherto been realized. Intervening to change parenting practices may, however, be important in their treatment. Despite their frequent occurrence among dental patients, neglect is the least known and identified type of abuse. The present case reports a 3-year-old girl suffering from abuse and neglect. The girl had dental neglect and also performed poorly in all parameters of growth and development. This case describes the process that was followed in order to reach a diagnosis and safeguard the child. The parent was counseled and the girl got her due share of access to comprehensive oral and general health. This case emphasizes that the dental professional should always be vigilant and collaborates among like-minded individuals to increase the prevention, detection and treatment of these conditions.

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How common are rib fractures in extremely low birth weight preterm infants?

Abstract: The possibility of NAI should be considered in ex-ELBW infants found to have rib fractures.

Cited by 28 publications

References 7 publications

Metabolic Bone Disease

Metabolic Bone Disease

Educational paper

Child abuse and neglect

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