A skeletal survey is a series of radiographs, performed systematically to cover the entire skeleton or the anatomic regions appropriate for the clinical indications.
A typical skeletal survey includes bilateral anteroposterior (AP) and posteroanterior (PA) projections of hands, forearms, humerus, feet, leg, femur, pelvis, spine and skull. A joint survey includes bilateral AP and PA views of wrist, elbow, shoulder, ankle, knee, hip and sacroiliac joints.
Its objective is to accurately identify focal and diffuse abnormalities of the skeleton and to differentiate them from developmental changes and other anatomic variants that may occur in infants and children.
Common indications of skeletal survey include
- known or suspected physical child abuse
- skeletal dysplasias
- disseminated infections
- metastatic bone disease
- multiple myeloma
- eosinophilic granuloma
- osteogenesis imperfecta
- Paget's disease
- metabolic bone disease
- polyarticular arthropathy