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AJR 2005; 184:1282-1286
© American Roentgen Ray Society

Review

How Old Is This Fracture? Radiologic Dating of Fractures in Children: A Systematic Review

Ingrid Prosser1, Sabine Maguire1, Sara K. Harrison2, Mala Mann3, Jonathan R. Sibert1, Alison M. Kemp1 Welsh Child Protection Systematic Review Group

1 Department of Child Health, Cardiff University, Wales College of Medicine, Academic Centre, Llandough Hospital, Penarth CF64 2XX, Wales, United Kingdom.
2 Department of Radiology, Cardiff University, Wales College of Medicine, Heath Hospital, Heath Park, Cardiff CF14 4XN, Wales, United Kingdom.
3 Duthie Library, Cardiff University, Wales College of Medicine, Heath Hospital, Heath Park, Cardiff CF14 4XN, Wales, United Kingdom.

OBJECTIVE. We conducted a systematic review of the literature to define the evidence for radiologic dating of fractures in children in the context of child protection.

CONCLUSION. Radiologic dating of fractures is an inexact science. Most radiologists date fractures on the basis of their personal clinical experience, and the literature provides little consistent data to act as a resource. There is an urgent need for research to validate the criteria used in the radiologic dating of fractures in children younger than 5 years.


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