Costochondral junction fractures and intra-abdominal trauma in non-accidental injury (child abuse).

Abstract:

:Rib fractures are a common skeletal manifestation of non-accidental injury (NAI) in infants and young children and are generally considered to be highly specific for abuse. There are, however, relatively few descriptions of fractures involving the costochondral junctions in NAI. We present three children (two boys, one girl; 7, 18, and 36 months of age) with anterior rib fractures which involved the sixth to ninth costochondral junctions. The fractures were bilateral in two children and symmetrical in one. They had appearances analogous to 'bucket handle' metaphyseal fractures of long bones. They were difficult to visualise and healed with minimal callus formation. These fractures were associated with major abdominal visceral injuries, which in themselves carry a significant morbidity and mortality. The importance of recognising such fractures is highlighted.

journal_name

Pediatr Radiol

journal_title

Pediatric radiology

authors

Ng CS,Hall CM

doi

10.1007/s002470050436

subject

Has Abstract

pub_date

1998-09-01 00:00:00

pages

671-6

issue

9

eissn

0301-0449

issn

1432-1998

journal_volume

28

pub_type

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