skeletal survey
A comprehensive radiographic examination of the entire skeleton, often performed in suspected cases of non-accidental trauma in children.
Full Definition
A skeletal survey is a systematic radiographic examination of the entire skeleton, most commonly performed in pediatric patients when non-accidental trauma (child abuse) is suspected. The study includes multiple standardized radiographic views of the skull, spine, chest, pelvis, and extremities to identify fractures, particularly metaphyseal corner fractures and posterior rib fractures that are highly suggestive of abuse. The American College of Radiology has established specific guidelines for skeletal survey technique and interpretation. Follow-up surveys may be performed 2-3 weeks later to detect healing fractures not visible on the initial study.
Usage
Usage note: Written as two words. Distinguish from bone scans or other imaging studies. Context often involves child protection concerns.
In Context
- "A skeletal survey was ordered to evaluate for occult fractures in the 18-month-old with suspicious injuries." — radiology requisition
- "The skeletal survey revealed multiple fractures in various stages of healing consistent with non-accidental trauma." — radiology report