Abstract:
BACKGROUND:Posterior rib fractures in young children have a high positive predictive value for non-accidental injury (NAI). Combined data of five studies on birth trauma (115,756 live births) showed no cases of rib fractures resulting from birth trauma. There have, however, been sporadic cases reported in the literature. OBJECTIVE:We present three neonates with both posterior rib fractures and ipsilateral clavicular fractures resulting from birth trauma. A review of the literature is also presented. The common denominator and a possible mechanical aetiology are discussed. MATERIALS AND METHODS:In total, 13 cases of definitive birth-related posterior rib fractures were identified. RESULTS:Nearly all (9/10) posterior rib fractures were (as far as reported in the original publications) in the midline. In 12 of the 13 children, birth weight was high and in 7 children birth was complicated by shoulder dystocia. An interesting finding was that in cases where a clavicular fracture was present, this was on the ipsilateral side. CONCLUSION:Radiologists, when presented with a neonate with posterior rib fractures, should be aware of this rare differential diagnosis.
journal_name
Pediatr Radioljournal_title
Pediatric radiologyauthors
van Rijn RR,Bilo RA,Robben SGdoi
10.1007/s00247-008-1035-2subject
Has Abstractpub_date
2009-01-01 00:00:00pages
30-4issue
1eissn
0301-0449issn
1432-1998journal_volume
39pub_type
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journal_title:Pediatric radiology
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