Birth-related mid-posterior rib fractures in neonates: a report of three cases (and a possible fourth case) and a review of the literature.

Abstract:

BACKGROUND:Posterior rib fractures in young children have a high positive predictive value for non-accidental injury (NAI). Combined data of five studies on birth trauma (115,756 live births) showed no cases of rib fractures resulting from birth trauma. There have, however, been sporadic cases reported in the literature. OBJECTIVE:We present three neonates with both posterior rib fractures and ipsilateral clavicular fractures resulting from birth trauma. A review of the literature is also presented. The common denominator and a possible mechanical aetiology are discussed. MATERIALS AND METHODS:In total, 13 cases of definitive birth-related posterior rib fractures were identified. RESULTS:Nearly all (9/10) posterior rib fractures were (as far as reported in the original publications) in the midline. In 12 of the 13 children, birth weight was high and in 7 children birth was complicated by shoulder dystocia. An interesting finding was that in cases where a clavicular fracture was present, this was on the ipsilateral side. CONCLUSION:Radiologists, when presented with a neonate with posterior rib fractures, should be aware of this rare differential diagnosis.

journal_name

Pediatr Radiol

journal_title

Pediatric radiology

authors

van Rijn RR,Bilo RA,Robben SG

doi

10.1007/s00247-008-1035-2

subject

Has Abstract

pub_date

2009-01-01 00:00:00

pages

30-4

issue

1

eissn

0301-0449

issn

1432-1998

journal_volume

39

pub_type

杂志文章,评审
  • Sonographic windsock sign of a duodenal web.

    abstract::We report a neonate with a duodenal web demonstrating the windsock appearance on US. In neonates, duodenal web is rare and its windsock appearance is also rarely seen. The windsock sign of duodenal web has been a well-known finding on upper gastrointestinal series. The corresponding windsock appearance may be demonstr...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/s002470100005

    authors: Yoon CH,Goo HW,Kim EA,Kim KS,Pi SY

    更新日期:2001-12-01 00:00:00

  • Vertical expandable prosthetic titanium rib (VEPTR): a review of indications, normal radiographic appearance and complications.

    abstract::Vertical expandable prosthetic titanium rib (VEPTR) is increasingly used in the treatment of thoracic insufficiency, idiopathic and neuromuscular scoliosis and chest wall defects in children. In contrast to spinal fusion surgery, the VEPTR allows for growth while stabilizing the deformity. We illustrate the common ind...

    journal_title:Pediatric radiology

    pub_type: 杂志文章,评审

    doi:10.1007/s00247-014-3128-4

    authors: Parnell SE,Effmann EL,Song K,Swanson JO,Bompadre V,Phillips GS

    更新日期:2015-04-01 00:00:00

  • The olive on end: a useful variant of the "shoulder" sign in the barium X-ray diagnosis of idiopathic hypertrophic pyloric stenosis.

    abstract::We describe a radiographic sign of infantile hypertrophic pyloric stenosis. This sign, elicited during firm compression of the barium-coated pyloric region, is a round or avoid filling defect caused by the hypertrophied pyloric muscle protruding en face into the gastric lumen. This filling defect typically reveals a b...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/BF02019857

    authors: Levine D,Edwards DK 3rd

    更新日期:1992-01-01 00:00:00

  • Radiographic patterns of PLH/LIP in HIV positive children.

    abstract::A retrospective study was performed of the radiographic patterns of the lungs in children being followed in the Children's Hospital Aids Program (CHAP). The most consistent finding was a diffuse reticulonodular pattern in the lungs. In addition, lung consolidation, either isolated or in combination with nodules, was n...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/BF02010931

    authors: Marquis JR,Berman CZ,DiCarlo F,Oleske JM

    更新日期:1993-01-01 00:00:00

  • MR signal characteristics of cadaveric bone allografts in three children with primary bone tumors treated with limb salvage therapy.

    abstract::Three children with adult cadaveric bone allografts for the treatment of bone malignancies are presented. Follow-up magnetic resonance (MR) imaging demonstrated decreased signal on T1-weighted imaging and increased signal on T2-weighted imaging in the allograft without clinical evidence of recurrent disease. These sig...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/BF02015006

    authors: Levin TL,Miller TT,Panicek DM,Rosenfield N,Ruzal-Shapiro C,Dick HS,Berdon WE

    更新日期:1994-01-01 00:00:00

  • Lymph node enlargement as a sign of acute hepatitis A in children.

    abstract::Abdominal ultrasound was performed in 58 children presenting with proven acute hepatitis A and in 63 controls of the same age. There are well-known echographic signs of hepatitis (liver enlargement, gallbladder wall thickening, periportal hyperechogenicity) but they were not constantly found. We describe in all the he...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/BF02019659

    authors: Toppet V,Souayah H,Delplace O,Alard S,Moreau J,Levy J,Spehl M

    更新日期:1990-01-01 00:00:00

  • Pediatric applications of abdominal vascular Doppler imaging: Part I.

    abstract::Ultrasound is a remarkably powerful and versatile modality for pediatric imaging, without requiring exposure to radiation or sedatives. By providing information on blood flow, Doppler sonography can reveal details about normal physiology and disease processes not discernable from gray-scale anatomic images alone. Howe...

    journal_title:Pediatric radiology

    pub_type: 杂志文章,评审

    doi:10.1007/s00247-004-1228-2

    authors: Coley BD

    更新日期:2004-10-01 00:00:00

  • Significance of pleural effusion at diagnosis in pediatric Hodgkin lymphoma: a report from Children's Oncology Group protocol AHOD0031.

    abstract:BACKGROUND:Pleural effusion at presentation in Hodgkin lymphoma has been associated with inferior outcome but has not been systematically evaluated. OBJECTIVE:To determine whether pleural effusion at presentation in children with Hodgkin lymphoma is a primary indicator of poor prognosis or secondary to associated fact...

    journal_title:Pediatric radiology

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s00247-018-4197-6

    authors: McCarten KM,Metzger ML,Drachtman RA,Pei Q,Friedman DL,Schwartz CL,Kelly KM

    更新日期:2018-11-01 00:00:00

  • Primary (isolated) bilateral pulmonary hypoplasia: a comparative study of radiologic findings and autopsy results.

    abstract::Comparative radiologic/pathologic study of 45 newborns with primary and secondary pulmonary hypoplasia is presented and 43 cases were proven at autopsy. From 9 cases with primary pulmonary hypoplasia, 7 could be identified by 3 independent observers on chest radiographs. The roentgen criteria of primary pulmonary hypo...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/BF02456280

    authors: Langer R,Kaufmann HJ

    更新日期:1986-01-01 00:00:00

  • The impact of fetal screening on indications for cystourethrography in infants.

    abstract::To evaluate cystourethrography in the era of fetal screening, we evaluated retrospectively the clinical and imaging findings of all children up to the age of 1 year who underwent a cystourethrogram in a 5-year period (1987-1992). There were 292 children, 64 neonates (< 1 month, 51 boys, 13 girls) and 228 infants (1 mo...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/BF02015017

    authors: Coret A,Morag B,Katz M,Lotan D,Heyman Z,Hertz M

    更新日期:1994-01-01 00:00:00

  • Multimodality imaging of vascular anomalies.

    abstract::Vascular malformations and hemangiomas are common in children but remain a source of confusion during diagnosis, in part because of the lack of a uniform terminology. With the existing treatments for hemangiomas and vascular malformations, it is important to make the correct diagnosis initially to prevent adverse phys...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/s00247-012-2584-y

    authors: Restrepo R

    更新日期:2013-03-01 00:00:00

  • In vivo MRI measurement of blood oxygen saturation in children with congenital heart disease.

    abstract:OBJECTIVE:The purpose of this prospective study was to measure in vivo blood oxygen saturation (%O2) by MRI in children with congenital heart disease (CHD) using population-based values for T2O (T2 signal decay of fully oxygenated blood) and K (a parameter representing the deoxyhemoglobin effect) and compare the %O2 wi...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/s00247-004-1305-6

    authors: Nield LE,Qi XL,Valsangiacomo ER,Macgowan CK,Wright GA,Hornberger LK,Yoo SJ

    更新日期:2005-02-01 00:00:00

  • Rib head protrusion into the central canal in type 1 neurofibromatosis.

    abstract:BACKGROUND:Intraspinal rib head dislocation is an important but under-recognized consequence of dystrophic scoliosis in patients with neurofibromatosis 1 (NF1). OBJECTIVE:To present clinical and imaging findings of intraspinal rib head dislocation in NF1. MATERIALS AND METHODS:We retrospectively reviewed clinical pre...

    journal_title:Pediatric radiology

    pub_type: 杂志文章,评审

    doi:10.1007/s00247-010-1789-1

    authors: Ton J,Stein-Wexler R,Yen P,Gupta M

    更新日期:2010-12-01 00:00:00

  • How accurate is size-specific dose estimate in pediatric body CT examinations?

    abstract:BACKGROUND:Size-specific dose estimate is gaining increased acceptance as the preferred index of CT dose in children. However it was developed based on non-clinical data. OBJECTIVE:To compare the accuracy of size-specific dose estimate (SSDE) based on geometric and body weight measures in pediatric chest and abdomen C...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/s00247-016-3604-0

    authors: Karmazyn B,Ai H,Klahr P,Ouyang F,Jennings SG

    更新日期:2016-08-01 00:00:00

  • Importance of whole-body imaging with complete coverage of hands and feet in alveolar rhabdomyosarcoma staging.

    abstract:BACKGROUND:Alveolar rhabdomyosarcoma commonly arises in the extremities and is characterized by aggressive biology and high frequency of metastases. Whole-body imaging is increasingly employed in pediatric oncology but not recommended as standard in the staging of soft-tissue sarcomas. OBJECTIVE:After observing patien...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/s00247-017-4066-8

    authors: Scheer M,Dantonello T,Brossart P,Dilloo D,Schweigerer L,Feuchtgruber S,Sparber-Sauer M,Vokuhl C,Bielack SS,Klingebiel T,Koscielniak E,von Kalle T,Cooperative Weichteilsarkom Studiengruppe (CWS).

    更新日期:2018-05-01 00:00:00

  • Occult humeral epiphyseal fracture in battered infants.

    abstract::Complete fracture-separation of humeral epiphyses, proximal or distal, represents unusual skeletal injuries in the battered infant. Radiographic identification of the type and extent of epiphyseal injury may be difficult due to lack of ossified epiphyseal centers. While arthrography can be a useful diagnostic and ther...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/BF00975189

    authors: Merten DF,Kirks DR,Ruderman RJ

    更新日期:1981-02-01 00:00:00

  • Ultrasound of a torsed ovary: characteristic gray-scale appearance despite normal arterial and venous flow on Doppler.

    abstract:BACKGROUND:We present the case of an 8-year-old girl with acute onset of intermittent lower abdominal pain. The gray-scale US examination showed an enlarged right ovary with peripheral cysts, reflecting ovarian congestion and strongly suggesting the diagnosis of torsion. Normal arterial and venous flow, however, was fo...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/s00247-002-0739-y

    authors: Hurh PJ,Meyer JS,Shaaban A

    更新日期:2002-08-01 00:00:00

  • Ionizing radiation from computed tomography versus anesthesia for magnetic resonance imaging in infants and children: patient safety considerations.

    abstract::In the context of health care, risk assessment is the identification, evaluation and estimation of risk related to a particular clinical situation or intervention compared to accepted medical practice standards. The goal of risk assessment is to determine an acceptable level of risk for a given clinical treatment or i...

    journal_title:Pediatric radiology

    pub_type: 杂志文章,评审

    doi:10.1007/s00247-017-4023-6

    authors: Callahan MJ,MacDougall RD,Bixby SD,Voss SD,Robertson RL,Cravero JP

    更新日期:2018-01-01 00:00:00

  • Retrospective comparison of gradient recalled echo R2* and spin-echo R2 magnetic resonance analysis methods for estimating liver iron content in children and adolescents.

    abstract:BACKGROUND:Serial surveillance of liver iron concentration (LIC) provides guidance for chelation therapy in patients with iron overload. The diagnosis of iron overload traditionally relies on core liver biopsy, which is limited by invasiveness, sampling error, cost and general poor acceptance by pediatric patients and ...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/s00247-015-3378-9

    authors: Serai SD,Fleck RJ,Quinn CT,Zhang B,Podberesky DJ

    更新日期:2015-10-01 00:00:00

  • Internal hernias in children: spectrum of clinical and imaging findings.

    abstract:BACKGROUND:Internal hernias are uncommon in children and their clinical and imaging findings have not been widely addressed. OBJECTIVE:To determine the spectrum of clinical and imaging findings of internal hernia (IH) in children and to highlight diagnostic features. MATERIALS AND METHODS:Review of clinical, imaging ...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/s00247-011-2158-4

    authors: Tang V,Daneman A,Navarro OM,Miller SF,Gerstle JT

    更新日期:2011-12-01 00:00:00

  • Liver and spleen MRI findings in virus-associated hemophagocytic syndrome in a patient with acute lymphocytic leukemia.

    abstract::Virus-associated hemophagocytic syndrome is characterized by the phagocytosis of erthythrocytes and other blood elements in multiple organ systems, especially the liver and spleen. Magnetic resonance imaging (MRI) can suggest this diagnosis in the proper clinical setting by demonstrating multiple, rounded signal voids...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/s002470050498

    authors: Zilkha A,Madan V,Leonidas JC,Valderrama E

    更新日期:1998-12-01 00:00:00

  • Methylmalonic acidemia: brain imaging findings in 52 children and a review of the literature.

    abstract:BACKGROUND:Methylmalonic acidemia (MMA) is an autosomal-recessive inborn error of metabolism. OBJECTIVE:To recognize the CT and MR brain sectional imaging findings in children with MMA. MATERIALS AND METHODS:Brain imaging studies (47 MR and 5 CT studies) from 52 children were reviewed and reported by a neuroradiologi...

    journal_title:Pediatric radiology

    pub_type: 杂志文章,评审

    doi:10.1007/s00247-008-0940-8

    authors: Radmanesh A,Zaman T,Ghanaati H,Molaei S,Robertson RL,Zamani AA

    更新日期:2008-10-01 00:00:00

  • High-resolution sonography of a scrotal abscess in a 2-week-old infant.

    abstract::Scrotal abscess in infancy is rare and, in an otherwise healthy infant, an unexpected pathology. We present a 2-week-old boy with a unilateral scrotal swelling, imaged by high-resolution sonography. Sonography with colour Doppler demonstrated an encapsulated heterogeneous mass in the left scrotum with surrounding hype...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/s00247-006-0273-4

    authors: Breysem L,Herman M,Moerman P,Van Damme-Lombaerts R,Bogaert G,Smet M

    更新日期:2006-11-01 00:00:00

  • Abnormal fetal cerebral laminar organization in cobblestone complex as seen on post-mortem MRI and DTI.

    abstract::We report a unique case of cobblestone complex using post-mortem MR and diffusion tensor imaging to assess the laminar organization of the fetal cerebrum. The imaging findings were correlated with autopsy findings. Abnormal cortical development in cobblestone complex resulted in disruption of normal laminar organizati...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/s00247-009-1255-0

    authors: Widjaja E,Geibprasert S,Blaser S,Rayner T,Shannon P

    更新日期:2009-08-01 00:00:00

  • MR Imaging in a case of severe anorexia nervosa: the 'flip-flop' effect.

    abstract::We report an MR imaging phenomenon that can lead to misinterpretation. The unique appearance of the soft tissues and bone marrow in a 19-year-old severely malnourished woman with anorexia nervosa raised concerns about technical failure or systemic pathology. Due to extreme fat depletion, the T1-weighted images appeare...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/s00247-014-3145-3

    authors: DiVasta AD,Mulkern RV,Gordon CM,Ecklund K

    更新日期:2015-04-01 00:00:00

  • Is there a role for magnetic resonance imaging in the evaluation of non-traumatic intraparenchymal haemorrhage in children?

    abstract:BACKGROUND:In contrast to adults, intraparenchymal haemorrhage (IPH) is at least as common as ischaemic stroke in children. There is often uncertainty about the most appropriate modality for imaging in the acute stage. OBJECTIVE:To examine the diagnostic value of MRI and MR angiography (MRA) in the detection of underl...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/s00247-006-0236-9

    authors: Liu AC,Segaren N,Cox TS,Hayward RD,Chong WK,Ganesan V,Saunders DE

    更新日期:2006-09-01 00:00:00

  • Diffusion-weighted imaging findings on MRI as the sole radiographic findings in a child with proven herpes simplex encephalitis.

    abstract::We present a case of herpes simplex encephalitis in an 8-year-old girl, in whom hyperintensity was detected on diffusion-weighted imaging (DWI) while conventional MRI sequences were normal 1 week after the onset of neurological symptoms. This case is rare in that a child beyond the neonatal period with focal herpes si...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/s00247-007-0577-z

    authors: Obeid M,Franklin J,Shrestha S,Johnson L,Quattromani F,Hurst D

    更新日期:2007-11-01 00:00:00

  • Congenital glenoid dysplasia.

    abstract::Glenoid dysplasia is an anomaly of the scapula characterized by underdevelopment of the bony glenoid and adjacent part of the scapular neck which may be seen as a primary isolated condition, in patients with multiple anomalies or ill-defined syndromes, in well-described syndromes, in mucopolysaccharidoses and related ...

    journal_title:Pediatric radiology

    pub_type: 杂志文章,评审

    doi:10.1007/s002470050287

    authors: Currarino G,Sheffield E,Twickler D

    更新日期:1998-01-01 00:00:00

  • Sonographic diagnosis of lissencephaly.

    abstract::Lissencephaly, a developmental malformation characterized by absence of sulci, may be suggested in dysmorphic or epileptic infants. Real time ultrasonographic findings correlated with typical electroencephalographic abnormalities establish the diagnosis. ...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/BF02396608

    authors: Motte J,Gomes H,Morville P,Cymbalista M

    更新日期:1987-01-01 00:00:00

  • Late sequelae of juvenile rheumatoid arthritis of the hip: a follow-up study into adulthood.

    abstract::A 4-13 year follow up study of 29 patients with juvenile rheumatoid arthritis into adulthood revealed several structural deformities of the hips: coxa magna, short femoral neck, subluxations associated with large cyst-like erosions of femur and acetabulum near the ligamentum teres and a flattened, wide femoral head (w...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/BF01002300

    authors: Patriquin HB,Camerlain M,Trias A

    更新日期:1984-01-01 00:00:00