Distinguishing child abuse fractures from rickets

Distinguishing child abuse fractures from rickets 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 [3]. Rickets is radiologically distinct from classic rickets, is looking at bones other than that bone suspected of metaphyseal fractures (see also [4]). 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 [2]. 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 http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Pediatric Radiology Springer Journals

Distinguishing child abuse fractures from rickets

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Publisher
Springer Berlin Heidelberg
Copyright
Copyright © 2017 by Springer-Verlag GmbH Germany, part of Springer Nature
Subject
Medicine & Public Health; Imaging / Radiology; Pediatrics; Neuroradiology; Nuclear Medicine; Ultrasound; Oncology
ISSN
0301-0449
eISSN
1432-1998
D.O.I.
10.1007/s00247-017-4037-0
Publisher site
See Article on Publisher Site

Abstract

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 [3]. Rickets is radiologically distinct from classic rickets, is looking at bones other than that bone suspected of metaphyseal fractures (see also [4]). 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 [2]. 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

Journal

Pediatric RadiologySpringer Journals

Published: Nov 24, 2017

References

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