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 />
Why the classic metaphyseal<br />
lesion forms <strong>in</strong> the distal<br />
metaphysis:<br />
The most vulnerable part of the bone <strong>in</strong> an<br />
<strong>in</strong>fant is the distal metaphysis (aka primary<br />
spongiosa) spongiosa<br />
Hav<strong>in</strong>g no chondrocytes makes it weaker<br />
than physis. physis<br />
Fewer organized cells <strong>and</strong> less calcification<br />
makes it weaker than the more proximal<br />
parts of metaphysis or the rest of the bone.<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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