Advertisement

Pediatric Radiology

, Volume 32, Issue 3, pp 188–190 | Cite as

Intraosseous vascular access defect: fracture mimic in the skeletal survey for child abuse

  • Mary P. Harty
  • Simon C. Kao
Case Report

Abstract.

Two infants were transferred to the emergency department for injuries suggestive of child abuse. Skeletal surveys showed cortical bone defects in the proximal tibiae that were initially interpreted as healing fractures. Further investigation, however, revealed that intraosseous (IO) vascular access needles had been placed at these sites in both infants. In the appropriate clinical setting, a cortical lesion in the proximal tibia corresponding to the site of IO needle insertion should not be mistaken for a radiographic sign of child abuse.

Intraosseous vascular access defect Child abuse Fracture mimic 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Copyright information

© Springer-Verlag 2002

Authors and Affiliations

  • Mary P. Harty
    • 1
  • Simon C. Kao
    • 1
  1. 1.Department of Radiology, 3951 JPP, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, Iowa City, IA 52242USA

Personalised recommendations