Non-accidental trauma
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Fell off couch and hit head and had a seizure.
Patient Data
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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.
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