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Metaphyseal and Rib Fractures in Child Abuse

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Jeremy Tucker, HMS IV<br />

Gillian Lieberman, MD<br />

Why focus on skeletal <strong>in</strong>juries?<br />

Skeletal <strong>in</strong>juries not usually life threaten<strong>in</strong>g<br />

<strong>and</strong> usually heal well<br />

High diagnostic value<br />

Common f<strong>in</strong>d<strong>in</strong>gs <strong>in</strong> abused babies<br />

Skeletal survey is highly sensitive test for<br />

abuse<br />

Kle<strong>in</strong>man, PK. Diagnostic Imag<strong>in</strong>g of <strong>Child</strong> <strong>Abuse</strong>, Second Edition. 1998.<br />

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