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Studies of children with underlying bone disease were excluded.The age of the children in the included studies ranged from birth to 17 years; one study included children aged from birth to 11 days.The cause is obvious in obstetrical injuries, whose risk factors have been well documented.Diaphyseal fractures are easy to recognise, whereas challenges may arise with the diagnosis of physeal injuries.Michele Walters, MD, of the department of radiology at Children’s Hospital Boston said that dating fractures is critical in cases of suspected infant abuse.
Identifying the aetiology is often extremely difficult and benefits from the involvement of a multidisciplinary team.In the included studies, the mean number of radiographs per child ranged from 1 to 9.Studies of children younger than 17 years were eligible for inclusion.“We found that HIV (positive) participants had higher incidence of all fractures and fragility fractures compared with HIV (negative) controls and that the rate of fracture was higher among HIV (positive) men aged 50-59 years compared with HIV (negative) participants of a similar age,” the authors wrote.
BOSTON--After observing the healing patterns of clavicular birth injuries in infants, a scientifically-based schedule for dating fractures may be possible to devise and apply to some cases of suspected infant abuse, according to a study presented during the fetal scientific papers presentation at the Society of Pediatric Radiology (SPR) annual conference on April 15.
"An increase of bone fractures were found among 50 - 59-year-old HIV-positive men, highlighting the importance of osteoporosis screening for HIV-infected men above the age of 50,” researchers wrote.