Radiological dating of fractures
Although most radiologists make assessments of fracture healing with accidental fractures on a daily basis, the evidence base for dating fractures, particularly in the abusive setting, remains incomplete ().This is remarkable when one considers the important implications of these radiologic assessments.The principles of dating skeletal injuries in this chapter are most applicable to the tubular bones. O’Connor, an early pioneer in pediatric radiology, and Jonathon Cohen, an orthopedic surgeon with special expertise in histopathology.
There is a healing fracture of the right tenth rib (circle). The child was pronounced dead and multiple fractures were noted on SS, including over 24 rib fractures.This applies even when there has been a abusive traumatic episode.There is often considerable delay between the initial injury and the diagnosis/treatment.B, Frontal specimen radiograph shows a fracture of the left eighth rib (black arrows) with subtle SPNBF (white arrow).C, Corresponding axial specimen radiograph shows disruption of the inner rib cortex (black arrow).
Search for radiological dating of fractures:
There are several important distinctions between fractures from abuse and those sustained through accidental trauma.