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The approach to investigations must always focus on making an accurate diagnosis, planning management or monitoring of the disease.

Imaging is useful but certain tests may need sedation in young children.

It is important to plan investigations to gain the most information and minimise radiation exposure or need for sedation.

  • Radiographs or Computerised Tomography or Radionuclide bone scans result in radiation exposure.
  • Ultrasound scanning is increasingly used, does not result in radiation exposure or require sedation but is operator dependent.
  • Magnetic Resonance Imaging may need sedation.
  • Densitometry is used to assess bone density. 

Children may need sedation to enable imaging to take place.  

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