TY - JOUR PY - 2015// TI - Normal spinous process metaphyseal-equivalent lucency simulating infant abuse fractures JO - Skeletal Radiology A1 - Oestreich, Alan E. A1 - Anton, Christopher G. SP - 1519 EP - 1522 VL - 44 IS - 10 N2 - 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

LA - en SN - 0364-2348 UR - http://dx.doi.org/10.1007/s00256-015-2184-7 ID - ref1 ER -