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Radiological features of healing in newborn clavicular fractures

Overview of attention for article published in European Radiology, September 2016
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Title
Radiological features of healing in newborn clavicular fractures
Published in
European Radiology, September 2016
DOI 10.1007/s00330-016-4569-y
Pubmed ID
Authors

Michael Fadell, Angie Miller, Laszlo Trefan, Jason Weinman, Jaime Stewart, Kari Hayes, Sabine Maguire

Abstract

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. We completed a retrospective cross-sectional time-series 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. 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. 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. • 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.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 34 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 34 100%

Demographic breakdown

Readers by professional status Count As %
Researcher 5 15%
Student > Postgraduate 4 12%
Student > Bachelor 3 9%
Student > Ph. D. Student 3 9%
Student > Master 3 9%
Other 7 21%
Unknown 9 26%
Readers by discipline Count As %
Medicine and Dentistry 16 47%
Nursing and Health Professions 2 6%
Psychology 2 6%
Agricultural and Biological Sciences 1 3%
Chemistry 1 3%
Other 1 3%
Unknown 11 32%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 22 October 2016.
All research outputs
#18,478,448
of 22,896,955 outputs
Outputs from European Radiology
#2,919
of 4,128 outputs
Outputs of similar age
#243,651
of 321,173 outputs
Outputs of similar age from European Radiology
#30
of 48 outputs
Altmetric has tracked 22,896,955 research outputs across all sources so far. This one is in the 11th percentile – i.e., 11% of other outputs scored the same or lower than it.
So far Altmetric has tracked 4,128 research outputs from this source. They receive a mean Attention Score of 4.5. This one is in the 19th percentile – i.e., 19% of its peers scored the same or lower than it.
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We're also able to compare this research output to 48 others from the same source and published within six weeks on either side of this one. This one is in the 20th percentile – i.e., 20% of its contemporaries scored the same or lower than it.