Prevalence of the classic metaphyseal lesion in infants at low versus high risk for abuse

American Journal of Roentgenology

Volumn 197, Issue 4, 2011, Pages 1005-1008

  Kleinman, Paul K ^a   Perez Rossello, Jeannette M ^a   Newton, Alice W ^a   Feldman, Henry A ^a   Kleinman, Patricia L ^a  

^a BOSTON CHILDREN S HOSPITAL   (United States)

Author keywords

Bone; Child abuse; Differential diagnosis; Fracture healing; Fractures; Infant; Radiography

Indexed keywords

ARTICLE; BONE LESION; BONE RADIOGRAPHY; BRAIN INJURY; CHILD ABUSE; CLINICAL ARTICLE; COMPUTER ASSISTED TOMOGRAPHY; CONTROLLED STUDY; DISEASE ASSOCIATION; FALLING; HIGH RISK INFANT; HUMAN; INFANT; METAPHYSIS; MUSCULOSKELETAL INJURY; PATIENT ASSESSMENT; PRIORITY JOURNAL; RETINA HEMORRHAGE; RISK ASSESSMENT; RISK FACTOR; RISK MANAGEMENT; SKULL FRACTURE;

BONE AND BONES; CHILD ABUSE; DIAGNOSIS, DIFFERENTIAL; FEMALE; HUMANS; INFANT; MALE; PREVALENCE; RETROSPECTIVE STUDIES; RISK FACTORS; SKULL FRACTURES; TOMOGRAPHY, X-RAY COMPUTED; UNITED STATES;

EID: 80053265217     PISSN: 0361803X     EISSN: 15463141     Source Type: Journal    
DOI: 10.2214/AJR.11.6540     Document Type: Article

References (17)

1. Caffey J. Some traumatic lesions in growing bones other than fractures and dislocations: clinical and radiological features. Br J Radiol 1957; 30:225-238
2. Boal DK. Child abuse. In: Slovis TL, Bulas DI, Faerber EN, et al, eds. Caffey's pediatric diagnostic imaging with website: 2-volume set. Vol. 2. St. Louis, MO: Mosby, 2007:2816-2830
3. Kleinman PK, Marks SC, Blackbourne B. The metaphyseal lesion in abused infants: a radiologic-histopathologic study. AJR 1986; 146:895-905 (Pubitemid 16120002)
4. Jenny C, American Academy of Pediatrics Committee on Child Abuse and Neglect. Evaluating infants and young children with multiple fractures. Pediatrics 2006; 118:1299-1303 (Pubitemid 46090078)
5. Bilo RAC, Robben SGF, van Rijn RR. The extremities. In: Bilo RAC, Robben SGF, van Rijn RR, eds. Forensic aspects of paediatric fractures: differentiating accidental trauma from abuse. New York, NY: Springer-Verlag, 2009:79-106
6. Cooperman DR, Merton DF. Skeletal manifestations of child abuse. In: Reece RM, Christian CW, eds. Child abuse: medical diagnosis and management. Elk Grove Village, IL: American Academy of Pediatrics, 2008:121-165
7. Kleinman P. Skeletal trauma: general considerations. In: Kleinman P, ed. Diagnostic imaging of child abuse. St. Louis, MO: Mosby-Year Book, 1998:8-25
8. Kleinman PK, Marks SC Jr, Richmond JM, Blackbourne BD. Inflicted skeletal injury: a postmortem radiologic-histopathologic study in 31 infants. AJR 1995; 165:647-650
9. Offiah A, van Rijn RR, Perez-Rossello JM, Kleinman PK. Skeletal imaging of child abuse (non-accidental injury). Pediatr Radiol 2009; 39:461-470
10. Kemp AM, Dunstan F, Harrison S, et al. Patterns of skeletal fractures in child abuse: systematic review. BMJ 2008; 337:a1518
11. Wood JN, Christian CW, Adams CM, Rubin DM. Skeletal surveys in infants with isolated skull fractures. Pediatrics 2009; 123:e247-e252
12. American College of Radiology. ACR practice guideline for skeletal surveys in children. In: Practice guidelines & technical standards 2006. Reston, VA: American College of Radiology, 2006:145-149
13. Kleinman PL, Zurakowski D, Strauss KJ, et al. Detection of simulated inflicted metaphyseal fractures in a fetal pig model: image optimization and dose reduction with computed radiography. Radiology 2008; 247:381-390
14. Silverman F. The roentgen manifestations of unrecognized skeletal trauma in infants. AJR Radium Ther Nucl Med 1953; 69:413-427
15. Kleinman PK. Problems in the diagnosis of metaphyseal fractures. Pediatr Radiol 2008; 38(suppl 3):S388-S394 (Pubitemid 351678164)
16. Lachman R. Taybi and Lachman's radiology of syndromes, metabolic disorders and skeletal dysplasias, 5th ed. St. Louis, MO: Mosby, 2007
17. American Academy of Pediatrics Section on Radiology. Diagnostic imaging of child abuse. Pediatrics 2009; 123:1430-1435