![]() Post-mortem before an autopsy in cases of suspected sudden infant death syndrome (SIDS) to exclude traumatic skeletal injury or skeletal abnormalities indicative of an underlying naturally occurring diseaseĬomputed bone maturity (bone age) assessmentĬomputed bone maturity (bone age) measurement are performed in cases of suspected growth delay or early pubertal development:Ĭomputed tomography scanogram for leg length discrepancy assessmentĬomputed tomography scanogram for leg length discrepancy assessment is performed in patients (children in most of the cases) with suspected inequality in leg length. Suspected non-accidental pediatric skeletal injury Approximately 5-10 of unconscious patients who present to the ED as the. Also consider a clay shoveler fracture if a spinous process appears vertically split. If this is not seen, consider a rotation injury (ie, unilateral facet dislocation). Skeletal surveys are performed in cases of: A straight line should connect the spinous processes bisecting the cervical spine. Hip : figure 1 example normal-pediatric- hip-ultrasound-graf-type-i right lateral: right side touches the cassette. Posterior nasal space x-ray: example neededġ2-year old: example 1 (with Rosenberg view) Trendelenburg position: the patient is supine (on an inclined radiographic table) with the head lower than the feet. Computed tomography scanogram for leg length discrepancy assessmentĤ-year-old: example 1 with a frog leg viewġ4-year-old: example 1 with frog leg viewĢ-year-old: example 1 (with reconstruction)ģ-year-old: example 1 (with bone windows and 3D recon)ħ-year-old: example 1 (with bone windows).the lateral projection requires the upper limbs to be removed from the path of the direct x-ray beam. all imaging of patients with a suspected spinal injury must occur in the supine position without moving the patient. Computed bone maturity (bone age) assessment ideally, spinal imaging should be taken erect in the setting of non-trauma to give a functional overview of the thoracic spine.
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