What is the age range for which a skeletal survey is indicated?

• A. Children older than 5 years
• B. Children 2 years and younger
• C. Adults
• D. Adolescents 12-17

Answer: (B)

Skeletal surveys are used when evaluating suspected non-accidental trauma in very young children, because hidden fractures can be missed on standard imaging and the bones are still rapidly developing. The procedure is most appropriate for children two years old and younger, since the likelihood of uncovering occult injuries is highest in this age group and a full skeletal view can reveal injuries that aren’t evident elsewhere. In older children and adolescents, injuries are more likely to be localized and a routine full survey isn’t routinely indicated; imaging decisions are guided by clinical findings and targeted radiographs rather than a blanket skeletal survey. Adults aren’t the typical target for this protocol unless there are unusual circumstances. Therefore, the age range for a skeletal survey is two years and younger.