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Metaphyseal and Rib Fractures in Child Abuse

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Jeremy Tucker, HMS IV<br />

Gillian Lieberman, MD<br />

Moderate specificity fractures<br />

Multiple fractures of different ages<br />

Epiphyseal separations (Salter fx of elbow where<br />

radial l<strong>in</strong>e does not <strong>in</strong>tersect capitabulum)<br />

capitabulum<br />

Vertebral body fractures (C2 pedicle fx of<br />

“Hangman’s”<br />

Digital fractures (buckl<strong>in</strong>g of cortical bone)<br />

Skull fractures (occipital region fx, fx,<br />

often ass. w/<br />

soft tissue <strong>in</strong>jury)<br />

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

55

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