Pediatr Radiol (2018) 48:305–307 https://doi.org/10.1007/s00247-017-4037-0 COMMENTARY Alan E. Oestreich Received: 28 July 2017 /Revised: 6 October 2017 /Accepted: 8 November 2017 /Published online: 24 November 2017 Springer-Verlag GmbH Germany, part of Springer Nature 2017 Introduction demonstrate by reviewing the details of these different pat- terns that this is an incorrect declaration. Additionally, con- The keystone of distinguishing suspected child abuse on ra- cavity of the distal ulna metaphysis alone is not a sign of diographs from manifestations of rickets, including healing rickets . Rickets is radiologically distinct from classic rickets, is looking at bones other than that bone suspected of metaphyseal fractures (see also ). rickets, as well as carefully perusing the bone under suspicion. Among the claims put forth by denialists is that the appear- Understanding the metaphyseal collar and the zone of provi- ance of healing rickets may be mistaken for a bucket handle sional calcification as part of the normal, non-rachitic, tubular type of classic metaphyseal lesion seen in child abuse . I bone metaphyses should help distinguish between rickets and contend that although there may be a superficial resemblance changes related to fracture. between the two entities, namely that both occur in the metaphyses, no
Pediatric Radiology – Springer Journals
Published: Nov 24, 2017
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