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Mimics of abuse fractures:
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See Radiology reference web page for:
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Fractures are the second most common injury in child physical abuse.
High specificity
- Classic metaphyseal lesions
- Rib fractures, especially posterior
- Scapular fractures
- Spinous process fractures
- Sternal fractures
- Any infant with an unexplained fracture
Moderate specificity
- Multiple fractures, especially bilateral
- Fractures of different ages
- Epiphyseal separations
- Vertebral body fractures and subluxations
- Digital fractures
- Complex skull fractures
Common but low specificity
- Subperiosteal new bone formation
- Clavicular fractures
- Long bone shaft fractures, unless child pre-ambulatory
- Linear skull fractures
[From Kleinman PK ed. Diagnostic imaging of child abuse 2nd ed Mosby 1998 ]
