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A "hole in a rib" as a sign of child abuse | JoVE Visualize

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A "hole in a rib" as a sign of child abuse

N Magid¹, T Glass

¹Department of Radiology, Newark Beth Israel Medical Center, New Jersey.

Pediatric Radiology|January 1, 1990

View abstract on PubMed

Summary

Cyst-like rib lesions can indicate various conditions. In two child abuse cases, these radiolucent bone abnormalities were the first sign of a battered child, aiding diagnosis.

Area of Science:

Radiology
Pediatric Imaging
Skeletal Abnormalities

Background:

Rib lesions present diagnostic challenges.
Cyst-like radiolucencies can stem from diverse pathologies.
Early identification of child abuse is crucial.

Observation:

Two cases of child abuse are detailed.
The presenting sign was a cyst-like lytic lesion in the posterior rib cage.
These lesions were initially mistaken for other conditions.

Findings:

The rib lesions served as the primary indicator of child abuse.
Radiographic findings of lytic lesions in ribs can be indicative of non-accidental trauma.
Prompt recognition of these skeletal findings is vital.

Implications:

Highlights the importance of considering child abuse in cases of unexplained rib lesions.
Suggests that radiologists should be vigilant for these signs in pediatric imaging.
Emphasizes the role of skeletal surveys in diagnosing battered-child syndrome.

Condensed Matter Physics

Structural Properties Of Condensed Matter

A "hole In A Rib" As A Sign Of Child Abuse