caa a22 4500 475842081 CHVBK 20180406123903.0 cr unu---uuuuu 170329e20000301xx s 000 0 eng 10.1007/s101400050009 doi (NATIONALLICENCE)springer-10.1007/s101400050009 Oblique radiographs of the chest in nonaccidental trauma [Elektronische Daten] [J. D. Ingram, J. Connell, T. C. Hay, J. D. Strain, T. Mackenzie] Purpose: Oblique radiographs of the chest were added to our skeletal survey for nonaccidental trauma to determine if these views improved our ability to diagnose rib fractures accurately. Methods: Seventy-three patients were evaluated with skeletal surveys for suspected child abuse. The chest films were reviewed independently by three radiologists as two separate sets, one with the frontal and lateral views only and one including the two oblique views. At the end of the study, consensus readings of all two- and four-view sets were reached and used as the true interpretations. Results: In 14 patients, positive rib fractures were identified by consensus. The accuracy, sensitivity, and specificity for each radiologist were greater with the four-view sets than with the two-view sets. In some children, rib fractures considered equivocal by two-view evaluation were called confidently as positive or negative with the additional views. Conclusion: The addition of oblique radiographs improves rib fracture evaluation in children suspected of having suffered nonaccidental trauma, increasing sensitivity, specificity, and accuracy as well as the radiologists' confidence. American Society of Emergency Radiology, 2000 Key words Child abuse - Rib, fractures - Radiography - Pediatrics nationallicence Ingram J. D. Department of Radiology, The Children's Hospital, 1056 East 19th Avenue, Denver, CO 80218, USA e-mail: ingram.david@tchden.org Tel.: + 1-3 03-8 61 65 41 Fax: + 1-3 03-7 64 86 69, US aut Connell J. Department of Medical Education, The Children's Hospital, 1056 East 19th Avenue, Denver, CO 80218, USA, US aut Hay T. C. Department of Radiology, The Children's Hospital, 1056 East 19th Avenue, Denver, CO 80218, USA e-mail: ingram.david@tchden.org Tel.: + 1-3 03-8 61 65 41 Fax: + 1-3 03-7 64 86 69, US aut Strain J. D. Department of Radiology, The Children's Hospital, 1056 East 19th Avenue, Denver, CO 80218, USA e-mail: ingram.david@tchden.org Tel.: + 1-3 03-8 61 65 41 Fax: + 1-3 03-7 64 86 69, US aut Mackenzie T. Department of Preventative Medicine and Biometrics, University of Colorado Health Sciences Center, The Children's Hospital General Clinical Research Center, 1056 East 19th Avenue, Denver, CO 80218, USA, US aut https://doi.org/10.1007/s101400050009 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s101400050009 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Ingram J. D. Department of Radiology, The Children's Hospital, 1056 East 19th Avenue, Denver, CO 80218, USA e-mail: ingram.david@tchden.org Tel.: + 1-3 03-8 61 65 41 Fax: + 1-3 03-7 64 86 69, US aut NATIONALLICENCE 700 1- Connell J. Department of Medical Education, The Children's Hospital, 1056 East 19th Avenue, Denver, CO 80218, USA, US aut NATIONALLICENCE 700 1- Hay T. C. Department of Radiology, The Children's Hospital, 1056 East 19th Avenue, Denver, CO 80218, USA e-mail: ingram.david@tchden.org Tel.: + 1-3 03-8 61 65 41 Fax: + 1-3 03-7 64 86 69, US aut NATIONALLICENCE 700 1- Strain J. D. Department of Radiology, The Children's Hospital, 1056 East 19th Avenue, Denver, CO 80218, USA e-mail: ingram.david@tchden.org Tel.: + 1-3 03-8 61 65 41 Fax: + 1-3 03-7 64 86 69, US aut NATIONALLICENCE 700 1- Mackenzie T. Department of Preventative Medicine and Biometrics, University of Colorado Health Sciences Center, The Children's Hospital General Clinical Research Center, 1056 East 19th Avenue, Denver, CO 80218, USA, US aut Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer