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Both radiographs of admitted children and reassessment images from all over the country were included and reviewed by a forensic paediatric radiologist. Deceased children were excluded. Variables as gender, age, initial clinical injury and occult fractures were collected. Occult fractures on the follow-up skeletal survey were collected.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Results<\/jats:title>\n<jats:p>A total of 370 skeletal surveys of 296 children were included. Median age was 22\u00a0weeks (IQR 11\u201348), there were 172 (58%) boys. A total of 195 occult fractures were detected in 111 (32%) children. Occult fractures were detected in 37\/126 (29%) children with fracture as presenting symptom, 33\/90 (37%) children with head trauma and 26\/50 (52%) children with bruises. Rib (<jats:italic>n<\/jats:italic>\u2009=\u200956, 50%) and lower leg (<jats:italic>n<\/jats:italic>\u2009=\u200940, 36%) fractures were most detected.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Conclusion<\/jats:title>\n<jats:p>Occult fractures were detected in 32% of the children. Occult fractures were most prevalent if the initial clinical injury suggestive for NAT to request skeletal survey was a bruise, abusive head trauma or fracture.<\/jats:p>\n<\/jats:sec>","DOI":"10.1007\/s00383-020-04706-z","type":"journal-article","created":{"date-parts":[[2020,6,26]],"date-time":"2020-06-26T08:14:52Z","timestamp":1593159292000},"page":"1009-1017","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Prevalence and distribution of occult fractures on skeletal surveys in children with suspected non-accidental trauma imaged or reviewed in a tertiary Dutch hospital"],"prefix":"10.1007","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9399-9997","authenticated-orcid":false,"given":"Marie-Louise H. 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