The risk of assuming abuse in an infant with an isolated metaphyseal lesion

Kirsten Norrell, William Hennrikus

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

Case: The classic metaphyseal lesion, or corner fracture, is considered a strong indicator of nonaccidental trauma. In the present case, the parents brought their 8-month-old boy to a community hospital after he stopped crawling on the right leg. A knee radiograph demonstrated an isolated metaphyseal lesion, which prompted concern for child abuse. The patient was transferred to the nearest academic medical center; the pediatric radiology expert in child abuse determined that the lesion was a normal variant and not the result of abuse. Conclusion: An isolated metaphyseal lesion is not pathognomonic for child abuse, and a thoughtful differential diagnosis should be considered.

Original languageEnglish (US)
Article numbere69
JournalJBJS case connector
Volume7
Issue number3
DOIs
StatePublished - Jan 1 2017

All Science Journal Classification (ASJC) codes

  • Surgery
  • Orthopedics and Sports Medicine

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