Michael P. D'Alessandro, M.D.
Peer Review Status: Internally Peer Reviewed
The imaging study of choice is the plain film skeletal survey.
Multiple fractures, unsuspected fractures, fractures of different ages, a combination of skeletal and non-skeletal injuries, and fractures inconsistent with the clinical history are highly suggestive of abuse.
A diaphyseal fracture is 4 times more common than an epiphyseal-metaphyseal fracture. Skull and rib fractures are also common. Posterior rib fractures are specific evidence of non accidental injury because incidental falls and minor trauma cannot cause them.
See References Chapter.
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