ABSTRACT

When referred a case of possible non-accidental injury, the radiologist should review the presenting injury, and discuss the patient with the clinician. A knowledge of normal skeletal development and variations in ossification can prevent unnecessary investigation.4-7 There should be a recognized departmental protocol for a skeletal survey for suspected non-accidental injury and all images should be reviewed by the radiologist before the child leaves the department. This is to ensure high-quality images and to allow for any necessary supplementary views. An assessment should be made of the age of any injuries. The possibility of an underlying bone disease or other condition, together with the need for appropriate imaging, should be considered at this stage.