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Metaphyseal and Rib Fractures in Child Abuse

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Jeremy Tucker, HMS IV<br />

Gillian Lieberman, MD<br />

Subperiosteal bone collar<br />

Acute CML Changes<br />

Subperiosteal bone collar<br />

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

Calcified disc fragment:<br />

th<strong>in</strong> layer of primary<br />

spongiosa of metaphysis +<br />

zone of hypertrophic<br />

chondrocytes with<strong>in</strong> the<br />

zone of provisional<br />

calcification + bone collar<br />

31

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