Metaphyseal and Rib Fractures in Child Abuse
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 />
Physis Physiology<br />
Chondrocytes proliferate <strong>and</strong> then enlarge <strong>in</strong> a<br />
columnar organization with a term<strong>in</strong>al<br />
chondrocyte at edge of physis. physis<br />
<strong>Metaphyseal</strong> vasculature sends a signal to<br />
term<strong>in</strong>al chondrocyte which causes it to undergo<br />
a morpholgical change: cell beg<strong>in</strong>s to apoptose<br />
or somehow to be released.<br />
<strong>Metaphyseal</strong> vasculature <strong>in</strong>vades the lacuna of<br />
the chang<strong>in</strong>g chondrocyte.<br />
chondrocyte<br />
1. Chondrocytes<br />
2. <strong>Metaphyseal</strong><br />
3. <strong>Metaphyseal</strong><br />
Rogers, Lee. Radiology of Skeletal Trauma, Third Edition. 2002.<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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