Metaphyseal and Rib Fractures in Child Abuse
Metaphyseal and Rib Fractures in Child Abuse
Metaphyseal and Rib Fractures in Child Abuse
Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
Jeremy Tucker, HMS IV<br />
Gillian Lieberman, MD<br />
Why the CML is shaped like a<br />
frisbee:<br />
Thick subperiosteal bone collar surrounds the th<strong>in</strong><br />
cartilage network of the distal metaphysis <strong>and</strong> the<br />
hypertrophied chondrocytes of the adjacent physis<br />
<strong>Fractures</strong> therefore tend to cut under the bone<br />
collar.<br />
This produces the corner fracture appearance from<br />
a perspective tangential to the bone.<br />
Kle<strong>in</strong>man et al. “The <strong>Metaphyseal</strong> Lesion <strong>in</strong> <strong>Abuse</strong>d Infants: A Radiologic-Histopathologic<br />
Study.” AJR: 146, May 1986..<br />
Kle<strong>in</strong>man, PK. Diagnostic Imag<strong>in</strong>g of <strong>Child</strong> <strong>Abuse</strong>, Second Edition. 1998.<br />
29
Change language