Peds - Child Abuse

Question 1

Imaging to order in the setting of suspected abuse?

Answer 1

X-ray bone survey with multiple views of the skull, ribs, spine, and extremities

Question 2

Types of fractures that are very specific for abuse?

Answer 2

Multiple bilateral fractures at different stages of healing

• Metaphyseal lesions
• Posterior ribs
• Scapula
• Spinous process
• Sternum
• Finger
• piral fracture of the femur in a pre-ambulating child