Abstract
Vertebral, sternal, and scapular fractures are rare in children and are described in the literature as highly specific for child abuse injury [1–7]. However, current research suggests that sternal fracture may actually occur more often as a result of low-force accidental impact [3, 5]. Clavicular fractures are a very common accidental injury in children but may become more suspicious for nonaccidental injury when they occur on the lateral or medial thirds of the shaft or when there are concurrent fractures of the scapula or vertebrae [8–10]. This chapter takes a holistic approach to the torso by describing fractures of the neck, the thoracic skeleton, the pectoral girdles, and the thoracolumbar and sacral regions of the spine. Although the ribs are components of the thoracic skeleton, the common and complex nature of pediatric rib fractures requires a full chapter of detailed description; therefore, these fractures are not discussed here (see Chap. 3).
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Love, J.C., Derrick, S.M., Wiersema, J.M. (2011). Fractures of the Vertebral Column, Sternum, Scapulae, and Clavicles. In: Skeletal Atlas of Child Abuse. Springer’s Forensic Laboratory Science Series. Humana Press. https://doi.org/10.1007/978-1-61779-216-8_4
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