title: [A retrospective study of preadoption x-ray findings in young children at the Social Child Aid: value and limitations].
abstract: French law requires that children awaiting adoption undergo full medical evaluation to detect anomalies which may influence decisions concerning adoption. As part of this evaluation, all infants admitted to the Saint-Vincent-de-Paul Preadoption Center in Paris undergo roentgenographic evaluation including frontal and lateral films of the skull, a frontal chest film, a frontal view of the pelvis, and frontal films of one upper limb and one lower limb. A study of the one hundred most recent evaluations, carried out in infants aged 1 to 14 months, disclosed 16 roentgenographic anomalies. Five of these anomalies were already known prior to the evaluation, 2 did not give rise to additional investigations, and 9 led to additional tests, a change of therapy or subsequent radioclinical monitoring. Among the six films taken in each patient, only the frontal views of the chest and pelvis proved informative. Screening using these two roentgenograms only is recommended, with other roentgenograms being performed if called for on the basis of clinical findings.
authors.affiliation: Service Radiologie, Hôpital Saint-Vincent-de-Paul, Paris.
authors.forename: A
authors.initials: A
authors.lastname: Miquel
authors.forename: A
authors.initials: A
authors.lastname: Commeau
authors.forename: C
authors.initials: C
authors.lastname: Adamsbaum
authors.forename: G
authors.initials: G
authors.lastname: Kalifa
mesh_terms: D000300:Adoption; D005069:Evaluation Studies as Topic; D005260:Female; D005602:France; D006801:Humans; D007223:Infant; D008297:Male; D011859:Radiography; D012189:Retrospective Studies
vernacular_title: Etude rétrospective des bilans radiologiques avant adoption chez les jeunes enfants de l'Aide Sociale à l'Enfance: intérêt et limites.