Squeezing Injuries

Squeezing injuries create encirclement bruises and rib fractures highly suggestive of abuse. Particular attention should be given to multiple rib fractures and rib fractures in various stages of healing, the presence of which is classically associated with the battered child syndrome. Appreciation of this phenomenon is related to an understanding of normal bone healing and an ability to date the approximate age of any bone injuries identified in the child's workup. By looking for associated soft tissue findings, the appearance of a distinct fracture line, callus formation and calcification, and ossification of newly laid periosteal bone, the physician will be in a better position to detect discrepancies between the alleged history of the injury(ies) and the radiographic evidence of injury.

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