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dc.contributor.authorKleinman, Paul K.
dc.contributor.authorMarks, Sandy C.
dc.contributor.authorSpevak, Melissa R.
dc.contributor.authorRichmond, Joann M.
dc.date2022-08-11T08:09:35.000
dc.date.accessioned2022-08-23T16:36:17Z
dc.date.available2022-08-23T16:36:17Z
dc.date.issued1992-10-01
dc.date.submitted2009-03-31
dc.identifier.citation<p>Radiology. 1992 Oct;185(1):119-23.</p>
dc.identifier.issn0033-8419 (Print)
dc.identifier.doi10.1148/radiology.185.1.1523293
dc.identifier.pmid1523293
dc.identifier.urihttp://hdl.handle.net/20.500.14038/38753
dc.description.abstractFractures of the posterior ribs are well-recognized sequelae of infant abuse. Previous reports have indicated a predilection for fracture near the costotransverse process. This study expands the spectrum to include fractures involving the rib head. The radiologic and histologic features are described, and the mechanism of injury of this lesion is examined. In situ and specimen radiography, followed by histopathologic examination, was performed in 78 ribs removed from seven abused infants who died with posterior rib fractures. Computed tomography of the intact posterior thorax was performed in two of these infants. Fifty posterior rib fractures were identified; 29 involved the rib head. Frontal radiography was insensitive in identifying these fractures, clearly revealing injury only when periosteal reaction was present (four of 29 cases). Axial specimen radiography delineated the fractures in all cases. In the two infants studied, CT depicted five of 19 fractures visible only with axial specimen radiography. The morphologic features of these fractures further support the concept that most fractures in abused infants occur by means of indirect forces and are consistent with anteroposterior manual thoracic compression during assaults.
dc.language.isoen_US
dc.relation<p><a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&list_uids=1523293&dopt=Abstract">Link to Article in PubMed</a></p>
dc.relation.urlhttps://doi.org/10.1148/radiology.185.1.1523293
dc.subject*Child Abuse
dc.subjectChild, Preschool
dc.subjectHumans
dc.subjectInfant
dc.subjectRib Fractures
dc.subjectLife Sciences
dc.subjectMedicine and Health Sciences
dc.titleFractures of the rib head in abused infants
dc.typeArticle
dc.source.journaltitleRadiology
dc.source.volume185
dc.source.issue1
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/oapubs/1601
dc.identifier.contextkey805422
html.description.abstract<p>Fractures of the posterior ribs are well-recognized sequelae of infant abuse. Previous reports have indicated a predilection for fracture near the costotransverse process. This study expands the spectrum to include fractures involving the rib head. The radiologic and histologic features are described, and the mechanism of injury of this lesion is examined. In situ and specimen radiography, followed by histopathologic examination, was performed in 78 ribs removed from seven abused infants who died with posterior rib fractures. Computed tomography of the intact posterior thorax was performed in two of these infants. Fifty posterior rib fractures were identified; 29 involved the rib head. Frontal radiography was insensitive in identifying these fractures, clearly revealing injury only when periosteal reaction was present (four of 29 cases). Axial specimen radiography delineated the fractures in all cases. In the two infants studied, CT depicted five of 19 fractures visible only with axial specimen radiography. The morphologic features of these fractures further support the concept that most fractures in abused infants occur by means of indirect forces and are consistent with anteroposterior manual thoracic compression during assaults.</p>
dc.identifier.submissionpathoapubs/1601
dc.contributor.departmentDepartment of Cell Biology
dc.contributor.departmentDepartment of Radiology
dc.source.pages119-23


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