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 />
Protocol<br />
Problem: acutely most fxs very difficult to see on<br />
pla<strong>in</strong> film<br />
Solutions:<br />
Full skeletal surveys vs. specific bone film<br />
Follow up surveys needed to see callus<br />
formation<br />
Bone scans (nuclear medic<strong>in</strong>e sc<strong>in</strong>tigraphy)<br />
sc<strong>in</strong>tigraphy)<br />
needed to see fractures acutely<br />
Rule out metabolic abnormalities <strong>and</strong> other causes<br />
Exact protocol depends on age of child <strong>and</strong> f<strong>in</strong>d<strong>in</strong>gs.<br />
Protocol decisions will not be addressed here.<br />
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