This series demonstrates the revised management protocol followed has reduced in-patient stays and remained effective, with infants continuing to thrive after discharge home, and has a low complication rate.

Since implementation, this new classification of babies with PRS into three grades has clarified care pathways and enhanced communication between the Cleft Clinical Nurse Specialists and other health professionals involved with the care of these babies.

Bone ages assessed by the TW2 method and the GP atlas were compared in 97 children radiographed for trauma. Bone age assessed by the TW2 method was slightly closer to chronological age than the GP estimate, but TW2 was slightly less reproducible between observers. Given the relatively laborious and time-consuming nature of the TW2 method, there seems little point in promoting its use in the general hospital setting. The GP method was improved by recalibrating the standard radiographs to match the local population.

No abstract