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Implications for practice

  • The dating of fractures is an inexact science, the radiological features of bone healing represent a continuum, with considerable overlap
  • Radiological estimates of time of injury are in terms of weeks rather than days.  It is vital that all investigating agencies are aware of these broad time frames
  • A broad timetable of fracture healing from children less than five years of age has been proposed but has not yet been validated
  • Use of a standardised terminology with regard to the features of radiological fracture healing would be of benefit to all practitioners
  • It has always been hypothesised that infants heal fractures quicker than older children. The first study of clavicular fracture healing in infants offers a timetable for dating such infant fractures

 

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