html xmlns=”http://www.w3.org/1999/xhtml”> Chapter 24 Psychosocial considerations Alice W. Newton and Amy C. Tishelman Diagnostic Imaging of Child Abuse, third edition, ed. Paul K. Kleinman. Published by Cambridge University Press. ©…
html xmlns=”http://www.w3.org/1999/xhtml”> Chapter 15 Postmortem skeletal imaging Paul K. Kleinman Diagnostic Imaging of Child Abuse, third edition, ed. Paul K. Kleinman. Published by Cambridge University Press. © Paul K. Kleinman…
Figure 22.1 Gastric perforation. Two-year-old abused child. The stepfather admitted to striking the child in the abdomen with his upraised knee. A, Massive free air outlines the peritoneal cavity, the…
Figure 12.1 Physiologic SPNBF. A, Anteroposterior (AP) view of the left femur in a two-month-old infant demonstrates SPNBF along the medial (open arrow) and lateral (solid arrows) aspects of the…
Figure 17.1 Normal scalp anatomy. Anatomic representation illustrating the various anatomic layers of the scalp, using the mnemonic SCALP (Skin, Connective subcutaneous tissue, Aponeurotica, Loose avascular connective tissue, Pericranium). (Reprinted…
Shaft fracture Subperiosteal new bone Metaphyseal irregularity Generalized osteopenia Comments Osteogenesis imperfecta + + +/- + First fracture may occur before osteopenia is evident Scurvy – + + + Diet…
Figure 19.1 Delayed necrosis on DWI in a two-month-old infant. This child presented with encephalopathy and respiratory failure requiring intubation. An outside CT was performed due to the encephalopathy and…
Figure 23.1 Inflicted fracture and neglect in a disabled child. AP view of the humerus in a one-year-old child with Down syndrome receiving physical therapy for spasticity demonstrates a mature…
High specificity* CMLs Rib fractures, especially posteromedial Scapular fractures Spinous process fractures Sternal fractures Moderate specificity Multiple fractures, especially bilateral Fractures of different ages Epiphyseal separations Vertebral body fractures and…
Figure 1.1 Proximal femur from an older child demonstrating the cortex, medullary cavity, growth plates, apophysis, and articular surface. Tan-white and smooth-surfaced, bones are the hardest and strongest structures of…
