Metaphyseal and Rib Fractures in Child Abuse

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Jeremy Tucker, HMS IV Gillian Lieberman, MD Callus formation Subperiosteal bone formation Osteosclerosis All All signs of fracture healing… Not Not consistent with new fractures 10
Jeremy Tucker, HMS IV Gillian Lieberman, MD Conclusion based on Radiology Findings: •Classic metaphyseal lesions NOT consistent with story of patient falling off bed •Healing of old fractures NOT consistent with story of patient falling off bed •Both quality and long-standing nature of fractures gave radiologists a high suspicion of child abuse in case of this 5 month old girl. 11
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Metaphyseal and Rib Fractures in Child Abuse

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