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Dating metaphyseal fractures

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Filed under Radiology. Figure 6. See same patient in Fig. A, AP portable supine radiograph obtained at the time of resuscitation shows fractures of the right sixth-to-ninth ribs without frank callus formation arrows. There is a healing fracture of the right tenth rib circle.
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Dating fractures

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The Radiology Assistant : Diagnostic Imaging in Child Abuse

Radiologists may be the first clinical staff to suspect non-accidental injuries when confronted with a particular injury pattern. Knowledge of these is essential if the opportunity to save a child from future neglect is not to be missed. At the same time, it is essential that suspicion is not raised inappropriately as the consequences for an innocent but accused parent or guardian are significant. Over recent years, there have been a number of titles given to the constellation of injuries that are the result of the physical abuse of children.
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Metaphyseal Fractures

Radiologists may be the first clinical staff to suspect non-accidental injuries when confronted with a particular injury pattern. Knowledge of these is essential if the opportunity to save a child from future neglect is not to be missed. At the same time, it is essential that suspicion is not raised inappropriately as the consequences for an innocent but accused parent or guardian are significant.
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After bruising, fractures are the second most common type of non-accidental injury occurring in children. Therefore, medical professionals are obliged to be on the lookout for signs of child abuse when they treat children who have sustained broken bones especially when a child is non-mobile or the explanation is not consistent with the presented injury. It is important to establish if there is any underlying medical condition which may pre-dispose a child to sustain fractures such as Osteogenisis Imperfecta, Vitamin D deficiency, Rickets, Osteopenia, Metabolic Disorders and Connective Tissue Disorders such as Ehlers Danlos Syndrome.
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