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Metaphyseal and Rib Fractures in Child Abuse

Metaphyseal and Rib Fractures in Child Abuse

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Jeremy Tucker, HMS IV<br />

Gillian Lieberman, MD<br />

Highly specific bone f<strong>in</strong>d<strong>in</strong>gs<br />

Classic metaphyseal lesions*<br />

<strong>Rib</strong> fractures, especially posterior*<br />

Scapular fractures<br />

Sp<strong>in</strong>ous process fractures<br />

Sternal fractures<br />

*also highly common, occur <strong>in</strong> almost all abused<br />

children<br />

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

16

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