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Citation |
Oestreich AE, Anton CG. Skeletal Radiol. 2015; 44(10): 1519-1522. |
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Affiliation |
Department of Radiology, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH, 45229-3039, USA, alan.oestreich@cchmc.org. |
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Copyright |
(Copyright © 2015, Holtzbrinck Springer Nature Publishing Group) |
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DOI |
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PMID |
26051806 |
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Abstract |
We report a normal radiographic finding that may be mistaken for child abuse trauma in the posterior thoracolumbar spinous processes of young infants after the first week of life. A lucency paralleling the posterior margin of the ossified spinous process is equivalent to the metaphyseal lucent bands seen normally after about a week of the child's age at the ends of long tubular bones. A similar lucency is seen just under the growth plate of vertebral bodies at that early age, giving the bone-in-bone appearance. Our index case was imaged at 3 weeks and then at 5 weeks of age, with no evidence of periosteal reaction or endosteal callus on that follow-up study, confirming the lack of fractures. Language: en |