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A radiologist's testimony regarding findings of possible abuse may be required, and the radiologist may be asked to give an opinion as to the likely age of the child's fractures and about the possibility of alternative diagnoses.Familiarity with radiographic patterns and mechanisms of abuse generally allows the radiologist to give an interpretation with a high degree of certainty.Geometric distortion and varying exposures are unacceptable limitations of this image.
Almost 75% of those deaths occurred in children younger than 3 years.
The resulting fracture may cross the diaphysis in an oblique or transverse plane, or it may create the highly specific and classic metaphyseal lesion (CML).
The classic metaphyseal lesion is also referred to as a corner fracture or a bucket-handle fracture.
Most reports of abuse were submitted by educational personnel (18.4%) and legal and law enforcement personnel (18.2%).
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Approximatley 9% of reports were submitted by medical personnel.Since these early reports, investigators have more clearly defined the pathophysiology of abusive injuries (see the images below).
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