Belgian Journal of Paediatrics
The Radiological Investigation of the Skeleton in Suspected Non-Accidental Injury in Children – A Practical Guide for the Skeletal Survey
Vol. 27 No. 2 (2025), Theme issue articles
Vol. 27 No. 2 (2025)

The Radiological Investigation of the Skeleton in Suspected Non-Accidental Injury in Children – A Practical Guide for the Skeletal Survey

Theme issue articles
Published 2025-07-07
Marjolein A.C. Mattheij
University of Antwerp, Antwerp University Hospital, Department of Emergency Medicine and Antwerp Surgical Training, Anatomy and Research Centre (ASTARC), Wilrijk, Belgium
https://orcid.org/0009-0005-4311-3544
Eline De Smet
University of Antwerp, Antwerp University Hospital, Department of Radiology, Edegem, Belgium
Frederik Bosmans
University of Antwerp, Antwerp University Hospital, Department of Radiology, Edegem, Belgium
Filip M. Vanhoenacker
Department of Radiology AZ Sint-Maarten Mechelen and Antwerp University Hospital, Faculty of Medicine and Health Sciences Universities Antwerp and Ghent, Belgium
https://orcid.org/0000-0002-7253-1201
Jonathan Van Baekel
University of Antwerp, Antwerp University Hospital, Department of Radiology, Edegem, Belgium
Wouter Karst
Dutch National Forensic Medical Expertise Centre (LOEF), The Netherlands, and Antwerp University Hospital, Department of Paediatrics, Edegem, Belgium
https://orcid.org/0000-0003-0143-6511
Koenraad G. Monsieurs
University of Antwerp, Antwerp University Hospital, Department of Emergency Medicine, Edegem and Antwerp Surgical Training, Anatomy and Research Centre (ASTARC), Wilrijk, Belgium
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Keywords

Non-accidental injury
Child
Fractures bone
Diagnostic imaging
Skeletal survey

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How to Cite

Mattheij, M. A., De Smet, E., Bosmans, F., Vanhoenacker, F. M., Van Baekel, J., Karst, W., & Monsieurs, K. G. (2025). The Radiological Investigation of the Skeleton in Suspected Non-Accidental Injury in Children – A Practical Guide for the Skeletal Survey. Belgian Journal of Paediatrics, 27(2), 84–86. Retrieved from http://belgjpaediatrics.com/index.php/bjp/article/view/384
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Abstract

Imaging plays an important role in the assessment of children with possible non-accidental injury. Studies have shown that there is significant variability in imaging performed to identify fractures in children with possible non-accidental injury. In 2013 the European Society of Paediatric Radiology (ESPR) voted in favour of adopting the RCR/SCoR/RCPCH guideline concerning the radiological investigation for non-accidental injury in children. We present a poster illustrating the required radiographic investigations of the skeleton in suspected non-accidental injury in children, that can serve as a practical tool to facilitate adherence to the guideline. We also provide a summary of the key points of the guideline, and discuss challenges and possible solutions for these challenges for implementation of the guideline in the Belgian context.

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