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001-es BibID:	BIBFORM125957
035-os BibID:	(Scopus)84987624097 (WoS)000399013900044
Első szerző:	Fadell, Michael
Cím:	Radiological features of healing in newborn clavicular fractures / Michael Fadell, Angie Miller, Laszlo Trefan, Jason Weinman, Jaime Stewart, Kari Hayes, Sabine Maguire
Dátum:	2016
ISSN:	0938-7994 1432-1084
Megjegyzések:	Objectives Given the frequency of abusive fractures among infants, and the lack of research and or evidence for the phases of fracture healing seen in this age group, this study aims to describe a timetable of radiological features of fracture healing among infants in the first months of life. Methods We completed a retrospective cross-sectional timeseries study of birth-related clavicle fractures from 2006? 2013. A total of 108 digital images were available for review from 61 infants. The presence or absence of four features of healing including periosteal reaction, callus formation, bridging callus and remodelling were scored by three radiologists. Results The level of agreement between the radiologists was good to high (0.60?0.90). Features of healing were first seen at 7 days (periosteal reaction), 11 days (callus), 20 days (bridging) and 35 days (remodelling), respectively. The peak periods that each feature was present are as follows: periosteal reaction 11?42 days, callus 12?61 days, bridging 22?63 days and remodelling 49?59 days. Conclusions Birth-associated clavicle fractures in infants follow a logical progression of healing changes. Understanding the expected progression and timing of fracture healing may be helpful as it pertains to the timing of injury in cases of abuse in infants. Key points ? Large study describing the time frames of fracture healing in young infants. ? Features of fracture healing develop in a logical progression. ? Evidence provided for determining fractures are consistent with a proposed time frame. ? It is of critical importance to have sound evidence for the dating of fractures.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban folyóiratcikk clavicle abuse non-accidental trauma healing fracture fracture healing
Megjelenés:	European Radiology. - 27 : 5 (2016), p. 2180-2187. -
További szerzők:	Miller, Angie Trefán László (1969-) (biostatisztikus, bioinformatikus) Weinman, Jason Stewart, Jaime Hayes, Kari Maguire, Sabine
Internet cím:	Szerző által megadott URL DOI Intézményi repozitóriumban (DEA) tárolt változat
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001-es BibID:	BIBFORM112976
035-os BibID:	(Scopus)85008707977 (WOS)000392644800006
Első szerző:	Warner, Christopher
Cím:	A study of radiological features of healing in long bone fractures among infants less than a year / Christopher Warner, Sabine Maguire, Laszlo Trefan, Angie Miller, Jason Weinman, Michael Fadell
Dátum:	2017
ISSN:	0364-2348
Megjegyzések:	Purpose To create a timetable for dating long bone fractures in infants aged less than 1 year using previously defined radiographic signs of fracture healing. Materials and methods A retrospective cross-sectional time series of long bone fractures in infants aged less than 1 year was conducted from 2006 to 2013. After exclusion criteria were applied 59 digital image series were available for review from 40 infants. Utilizing published criteria for dating fractures, the presence or absence of four pre-defined features of healing was scored: periosteal reaction, callus, bridging, and remodeling. Three radiologists independently scored radiographs with a 3-point scale, marking each feature as present, absent, or equivocal. The times in days when features were first seen, peaked (feature agreed present in >40% of images), and last seen were noted. Statistical analysis using free marginal kappa was conducted. Results The level of agreement among the three radiologists was high (0.64?0.85). The sequence in which the features were seen was: periosteal reaction range 7?130 (present in the majority of cases between 9 and 49 days); callus range 9?130 (present in the majority of cases between days 9?26); bridging range 15?130 (seen in the majority of cases between 15 and 67 days); remodeling range 51?247 days. Conclusion This study provides a timetable of radiological features of long bone healing among young infants for the first time. Dating of incomplete long bone fractures is challenging, beyond the presence of periosteal reaction, but a consistent sequence of changes is present in complete fractures.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban folyóiratcikk
Megjelenés:	Skeletal Radiology. - 46 : 3 (2017), p. 333-341. -
További szerzők:	Maguire, Sabine Trefán László (1969-) (biostatisztikus, bioinformatikus) Miller, Angie Weinman, Jason Fadell, Michael
Internet cím:	Szerző által megadott URL DOI Intézményi repozitóriumban (DEA) tárolt változat
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