Head injuries in children--aetiology, symptoms, physical findings and x-ray wastage

The British Journal of Radiology
Z F BoulisN R Barnes


One thousand and thirty-two consecutive children with head injuries have been studied. All were outpatients, and 1000 had X-rays requested and performed. Of those X-rayed, only 21 (2.1%) had fractures, whilst 129 cases (12.9%) required admission for observation. No patient developed complications from their injuries. The presence or absence of a fracture neither correlated with the clinical situation nor affected the management. The fact that two thirds of all new casualty attendances at UK hospitals have an X-ray examination (British Medical Journal, 1977) is an unjustified wastage. Much of this wastage is related to skull X-rays in trauma, especially in children. In only a minority of patients does the presence of a fracture result in any modification of treatment. Some suggestions as to indications for skull X-rays in trauma have been made to help select patients for radiography and to avert wastage.


May 1, 1977·The British Journal of Radiology·K T Evans
Jul 1, 1976·Indian Journal of Pediatrics·A M GhooiM M Gupta
Oct 1, 1975·Indian Journal of Pediatrics·K V Devadiga
Nov 9, 1968·Lancet·J D Miller, W B Jennett
Feb 1, 1972·The American Journal of Roentgenology, Radium Therapy, and Nuclear Medicine·F Roberts, C E Shopfner
Oct 28, 1972·British Medical Journal·A W CraftN E Cartlidge
Feb 4, 1971·The New England Journal of Medicine·R S Bell, J W Loop


Aug 1, 1979·The British Journal of Radiology·A F Evans, B Eyes
Aug 1, 1979·The British Journal of Radiology·S J Pussell
Apr 1, 1979·The British Journal of Radiology·G de Lacey
Apr 1, 1979·The British Journal of Radiology·K W Lavers, A Lavers
Jan 1, 1990·The British Journal of Radiology·G de LaceyE McNally
Jun 16, 1979·British Medical Journal·G de LaceyJ Harper
Sep 1, 1987·Archives of Emergency Medicine·D F Gorman
Mar 1, 1994·Journal of Accident & Emergency Medicine·S A WallaceR W Gullan
Nov 1, 1996·Journal of Accident & Emergency Medicine·A J JohnstoneW G Scobie
Jan 1, 1997·Journal of Accident & Emergency Medicine·S MoreeaN Zoltie
Apr 14, 1999·Journal of Neurology, Neurosurgery, and Psychiatry·P A NeeE B Faragher
Jul 23, 2004·Archives of Disease in Childhood·J DunningChildren's Head injury Algorithm for the Identification of significant Clinical Events Study (CHALICE Study)
May 8, 2008·Der Radiologe·A Zimmer, W Reith
Mar 1, 1991·The American Journal of Emergency Medicine·M PietrzakL Brown
Jul 1, 1980·Clinical Radiology·B Jennett
Jan 23, 1999·Clinical Radiology·P Rao, H Carty
Aug 1, 1984·Annals of Emergency Medicine·P M McCleanH Rudolph
Jun 1, 1982·Annals of Emergency Medicine·M A Shaffer, P E Doris
Jul 4, 1998·The British Journal of Surgery·D A Lloyd
Nov 15, 1980·The Medical Journal of Australia·J de Campo, P G Petty

Related Concepts

Medical Economics
Temporal Region Trauma
Unconscious State

Trending Feeds


Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Lipidomics & Rhinovirus Infection

Lipidomics can be used to examine the lipid species involved with pathogenic conditions, such as viral associated inflammation. Discovered the latest research on Lipidomics & Rhinovirus Infection.

Alzheimer's Disease: MS4A

Variants within the membrane-spanning 4-domains subfamily A (MS4A) gene cluster have recently been implicated in Alzheimer's disease in genome-wide association studies. Here is the latest research on Alzheimer's disease and MS4A.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Torsion Dystonia

Torsion dystonia is a movement disorder characterized by loss of control of voluntary movements appearing as sustained muscle contractions and/or abnormal postures. Here is the latest research.

Generating Insulin-Secreting Cells

Reprogramming cells or using induced pluripotent stem cells to generate insulin-secreting cells has significant therapeutic implications for diabetics. Here is the latest research on generation of insulin-secreting cells.

Central Pontine Myelinolysis

Central Pontine Myelinolysis is a neurologic disorder caused most frequently by rapid correction of hyponatremia and is characterized by demyelination that affects the central portion of the base of the pons. Here is the latest research on this disease.

Epigenome Editing

Epigenome editing is the directed modification of epigenetic marks on chromatin at specified loci. This tool has many applications in research as well as in the clinic. Find the latest research on epigenome editing here.

Related Papers

AJR. American Journal of Roentgenology
A A DeSmetJ R Thornbury
The American Journal of Roentgenology, Radium Therapy, and Nuclear Medicine
F Roberts, C E Shopfner
© 2021 Meta ULC. All rights reserved