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Limitations of review findings

  • Considerable heterogeneity between studies
  • Small number of comparative studies, in particular relating to less common fractures such as sternum, mandible, scapular, feet and hands
  • Inadequate analysis of data by child’s developmental stage, and a relative lack of data relating to non-mobile infants
  • Few studies gave details of the number of co-existent fractures in individual children, which would have been of value to clinicians
  • A lack of radiological detail is given in some of the studies relating to metaphyseal fractures
  • No data relating to disabled children


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