Category Pediatric Imaging

Stress Injuries of Bone

KEY FACTS Terminology Fatigue fracture: Fracture due to abnormal stresses applied (over time) to normal bone Insufficiency fracture: Fracture due to normal stresses applied to abnormal bone Stress response/reaction: Result of stresses upon bone prior to development of macroscopic fracture…

Other Fractures of Child Abuse

KEY FACTS Imaging High specificity for child abuse Classic metaphyseal lesions, posterior rib fractures Scapular fractures – Transverse or oblique fractures of mid acromion process most common – Acromion tip fracture mimics ossification center Sternal fractures – Linear lucency or…

Child Abuse, Metaphyseal Fractures

KEY FACTS Terminology Classic metaphyseal lesion (CML) or metaphyseal corner fracture: Transverse fracture of subphyseal metaphysis that undercuts subperiosteal bone collar peripherally Fracture of infants with high specificity for child abuse Imaging Most common at distal femur, proximal & distal…

Incomplete Fractures

KEY FACTS Terminology Incomplete fracture: Macroscopic fracture line does not traverse entire bony diameter Pediatric bones more elastic than adult bones Greater propensity to bow or bend before breaking Buckle fracture: Focal outward bulge of cortex (without frank interruption) on…

Apophyseal Injuries

KEY FACTS Terminology Apophysis: Nonarticular secondary center of ossification that serves as attachment site for muscle or tendon Acute injury: Avulsion fracture of osseous &/or cartilaginous apophysis through subjacent physis Chronic injury: Repetitive submaximal tensile forces (avulsive microtrauma) exceed rate…