Non-accidental trauma
Citation, DOI & case data
Presentation
Fell off couch and hit head and had a seizure.
Patient Data
Loading Stack -
0 images remaining

Multiple fractures are seen involving the posterior ribs, bilaterally. The infant is intubated and NGT in situ.
1 case question available
Q: What kinds of fractures are considered highly suspicious for non-accidental trauma? show answer
A: 1) Metaphyseal fracture (so called bucket handle fracture or corner fracture) 2) Posterior rib fractures 3) Skull fracture 4) Scapular fractures and sternal fractures 5) Femoral fracture in non-ambulatory infant.
Case Discussion
Posterior rib fractures are said to be a classic finding in non-accidental pediatric injuries.
These images are from Dr Paula Brill's excellent pediatric radiology collection. Dr Brill is a professor in the department of radiology (pediatric section) at Weill Cornell.
This case was donated to Radiopaedia.org by Radswiki.net.
2 articles feature images from this case
91 public playlists include this case
- ED CHEST by Richard Pow ◉
- GD: Presentation_Pediatric Radiology by Gurjeet Dulku
- 4 by Avni K P Skandhan ◉
- Quick Viva practice 2021 by Zishan Haider
- CHR 664L 12: Ribs, Sternum & Sternoclavicular Joint by jtaylordacbr
- ORTHO by Shreyas
- K chest by Gabrielle
- 22 aug by Samavia Raza
- Trauma Cases October 2017 by kesy nayagam
- Rcr by Mohammed Ahmed Fahmy
- Dr Aidi's IIUM Medical Student Practice OSCE by Aidi Aswadi Bin Halim Lim
- Exam day by Isaac Lui
- Paeds by Yue Li
- morning by Noha Salem
- Don't forget the bubbles 2017 by Craig Hacking ◉ ◈
- FRCR Random by Rubi Subhash
- Shuyi MSK by Shuyi Guo
- Peads viva Feb 21 by Zishan Haider
- PED CXR by Ahmed Magbari
- MSK Aunt Minnie by Suraindra Mark Rajadurai
- ED Paediatric Trauma by Troy Wooding
- 2021 ED Paediatrics by Annabelle Skelley
- MSK1 for FCPS-II by Aqeela Sadia
- Paeds by Lauren Simionato
- Classic finding by Dr Ali Basim
- GD: Paediatrics - MSK - Variants, Fractures & Periosteal reaction by Gurjeet Dulku
- Paed chest - test - Dearg by Orla Dunlea ◈
- K chest by Gabrielle
- MSK medical student teaching by Fun Kwan
- rk220619 by Rohit Gupta
- 222222 by Tomas Jurevicius
- TEACHING 19/5/21 by Kyle Grabowski
- Workshop 3 by Gihan Wijetunga
- Paeds abdo/chest davina squared by Madeleine Scicchitano ◉
- Revise by Mohamed Faragalla
- VIVA - Paed - Set I by Corey Thompson
- Viva cases by Mohammed Abdelaziz
- Fractures for GP registrars by Paul Bui
- MSK general by Emily Davidson
- Paediatrics by Naseera Khanum
- Paeds ED by Cassie McCloskey
- ED Paeds Emergency by Hannah Ireland ◉
- Paeds 1 by Idris Muhammad
- Important chest xray for emergency board exam by Maryam Saif AlAli
- ?NAI by Tom Gordon
- FRCR AV1 by Aditi Vipin
- viva 3 by S Savaridas
- SUNSHINE by Aaron Ow
- Non-accidental injury by Jonathan Bong
- Bone & Joint Exam 1 (Part 2) by Troy Zanger
- Prüfung päd by Lisa Ruby
- 8.10.17bones by Amie ◉
- Viva cases by SG
- JMO Fractures by David Ong
- Lesson 19: Trauma, Misc. by Lauren Tollefson
- Peds by Sameh Saied Ali ◉
- YJL 2B Paediatrics by YJ Lee
- Kinder trauma by Bernhard
- paeds viva by Yu Xuan Kitzing ◉
- Trauma by Ashley Hook
- UQ practice cases: Paediatrics 3 by Craig Hacking ◉ ◈
- ??? by Joshua Wells
- 2B Viva 3 by Dai Roberts ◉
- Don't forget the bubbles 2018 by Craig Hacking ◉ ◈
- Pre-call quiz 2020 by John Yasmer ◉
- neatsitiktine_trauma_rentgenas by Tomas Jurevicius
- Chest Viva T 2022 by Mona Hiba
- Viva 6 by Ranil
- Paediatric ortho by Guy Harris
- Pediatrics by Mohammed Ahmed Fahmy
- PAEDS VIVA by Lucy Blumer
- pediatrics viva by Fatima Abdelmoniem Abdelrahman Ragab
- msk by Maimoona murad khan
- ACEM Autumn Symposium 2019 - Paeds by Craig Hacking ◉ ◈
- abnormal rib cases by Nicholas Willmore ◉
- TI Teaching 14/07/21 by Kyle Grabowski
- 1st spot2022 by Abdullah Hajar
- important pediatric xray for emergency board exam by Maryam Saif AlAli
- Prüfung 22.02.2022 by Bernhard
- sep 27 by Samavia Raza
- Kinder by Jonas Sender
- Paeds by Bob Ng
- Paeds 2 by Everlight EverLearning Committee ◉
- Medical Student ED Radiology by Kenneth McManus
- Paediatrics by Tae Gon Yoo
- Msk eviva by Aimua Harriet
- Milad chest by Milad Ghasemzadeh
- Forensic cases by Thomas M. Anderson ◉
- Barneradiologi by Rolf Vejle
- Super fun mix for February by Gabrielle
- JHH PAEDS EFILM by Patrick Markey
Related Radiopaedia articles
Promoted articles (advertising)
How to use cases
You can use Radiopaedia cases in a variety of ways to help you learn and teach.
- Add cases to playlists
- Share cases with the diagnosis hidden
- Use images in presentations
- Use them in multiple choice question
Creating your own cases is easy.
ADVERTISEMENT: Supporters see fewer/no ads