Abstract
Suspicious for abuse are metaphyseal corner fracture (classic metaphyseal lesions), which also may appear as bucket-handle fractures; fractures of different ages; and fractures of certain bones in infancy, including of the first rib and of tubular bones of the hands and feet. It takes at least 9 days for periosteal reaction or callus to appear on plain images; with the exception of the lung sides of ribs, where hematoma may be seen earlier. Causes of periosteal reaction other than abuse need also to be considered.
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Oestreich, A.E., Caré, M.M. (2017). Fractures Raising the Question of Abuse. In: Recognizing Child Abuse in Radiology. Springer, Cham. https://doi.org/10.1007/978-3-319-44324-9_3
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DOI: https://doi.org/10.1007/978-3-319-44324-9_3
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