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    Go to the top of the page   ID: 20020320212359 Original case in english  More links about this topic on Pubmed (PubMed Reader)
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    Battered child syndrome (child abuse), case 1
    G Klohs. Battered child syndrome (child abuse), case 1. PedRad [serial online] vol 2, no. 3.
    URL: www.PedRad.info/?search=20020320212359


    ( There are questions in the CMK-Mode for this topic )

     
     Pediatric Radiology CasesImages to this case: There are X-Ray-images available for this case. [ X-Ray ] View all modalities [ All ]   
     Pediatric Radiology CasesAuthor/s:

    G. Klohs (Halle)  

     
     Pediatric Radiology CasesEmail Address:

    Viewable for logged on visitors (Log on)  

     
     Pediatric Radiology CasesAge:

    3 Months  

     
     Pediatric Radiology CasesGender:

    N/A  

     
     Pediatric Radiology CasesRegion-Organ:

    Leg-Bones  

     
     Pediatric Radiology CasesMost likely etiology:

    physical  

     
     Pediatric Radiology CasesHistory:

    3 month-old child, contusions in the thoracic area. Sensitive to touch on both legs, hematomas on the head.  

     
     Pediatric Radiology CasesPathomorphology or Pathophysiology of this disease :

    The characteristic metaphyseal avulsion (mostly at the femur) are explained by the trauma: mostly, the abuser rotates the extremities, particularly often on the thigh. Since the periost is attached tightly in the metaphyseal regions, but cannot expand longitudinally, the rotationally caused periostal injury rips the small bony fragments out of the metaphyseal region. In the area of the diaphysis, the periost detaches, and is initally seen as a double line - and later recognized as calcified subperiostal hemorrhage.  

     
     Pediatric Radiology CasesRadiological findings:


    X-Ray 1 <- view X-Ray 1

    X-Ray 1: The combination of metaphyseal avulsion and periostic detachment due to rotational trauma is typical and specific. (See Pathophysiology)




    X-Ray 2 <- view X-Ray 2

    X-Ray 2: Also typical for abuse (but not specific): Serial rib fractures posteriorly or laterally.

     

     
     Pediatric Radiology CasesDiagnosis confirmation:

    Total constellation (Consens)  

     
     Pediatric Radiology CasesWhich DD would be also possible with the radiological findings:

    In this typical constellation, none. Otherwise vitamin C or copper deficiency.  

     
     Pediatric Radiology CasesCourse / Prognosis / Frequency / Other :

    N/A  

     
     Pediatric Radiology CasesComments of the author about the case:

    N/A  

     
     Pediatric Radiology CasesFirst description / History:

    N/A  

     
     Pediatric Radiology CasesLiterature:

    N/A  

     
     Pediatric Radiology CasesKeywords:

    Battered child syndrome, child, abuse, child abuse, battered child, contusions, hematomas, extremities, metaphyseal splitting, metaphyseal avulsion, calcified subperiostal hemorrhage, posterior rib fracture, child, childhood, pediatric radiology  

     
     Pediatric Radiology Cases Cite this article:

    G Klohs. Battered child syndrome (child abuse), case 1. PedRad [serial online] vol 2, no. 3.
    URL: www.PedRad.info/?search=20020320212359  

     
     Pediatric Radiology Cases Read similar articles: with corresponding keywords
    in the same field: Leg-Bones
    or in the region: Leg
    or in the tissue/organ: Bones
    or with the etiology: physical
     
     Pediatric Radiology CasesImages to this case: There are X-Ray-images available for this case. [ X-Ray ] View all modalities [ All ]   
     
    Battered child syndrome (child abuse), case 1
    G Klohs. Battered child syndrome (child abuse), case 1. PedRad [serial online] vol 2, no. 3.
    URL: www.PedRad.info/?search=20020320212359


    ( There are questions in the CMK-Mode for this topic )

     

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    Battered child syndrome (child abuse), case 1
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    Search G. Klohs in Medline G. Klohs (1)   

    Battered child syndrome (child abuse), case 1  
     
    Battered child syndrome (child abuse), case 1
    G Klohs. Battered child syndrome (child abuse), case 1. PedRad [serial online] vol 2, no. 3.
    URL: www.PedRad.info/?search=20020320212359


    ( There are questions in the CMK-Mode for this topic )

     
     
    Battered child syndrome (child abuse), case 1
    G Klohs. Battered child syndrome (child abuse), case 1. PedRad [serial online] vol 2, no. 3.
    URL: www.PedRad.info/?search=20020320212359


    ( There are questions in the CMK-Mode for this topic )

     

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    Battered child syndrome (child abuse), case 1
    G Klohs. Battered child syndrome (child abuse), case 1. PedRad [serial online] vol 2, no. 3.
    URL: www.PedRad.info/?search=20020320212359


    ( There are questions in the CMK-Mode for this topic )

     




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