Radiology of inflicted trauma

Abstract

To gain an understanding of the shaking mechanism of inflicted trauma. To become familiar with the skeletal and neurologie injuries thought to resuit from shaking. To become familiar with visceral injuries that may be seen with abuse. To gain a knowledge of conditions that may simulate abuse. Radiologist is often first to encounter findings suggesting abuse. Radiographie findings among the most specifie and diagnostic. Perform a full skeletal survey, even if deceased. Classic metaphyseal lesion and posterior rib fractures are the most specifie common skeletal findings of child abuse. Be aware of mimics of inflicted trauma : – Periostitis without fracture is NOT due to inflicted trauma, – Examine and comment on bone density, – Exclude deep venous sinus thrombosis, – Main differential is accidentai trauma. Clinical, pathologic, and imaging features of the skeletal, CNS, and visceral manifestations of inflicted trauma or child abuse will be presented. Differential skeletal lesions will also be reviewed.