Abstract
Although in the differential diagnosis of fractures sustained in childhood one should be particularly aware of accidental trauma, it was found that congenital and acquired defects regularly give rise to suspicions of child abuse (see Table 7.1). Based on a combination of patient history, laboratory tests and radiological examination, it is usually possible to reach the correct diagnosis. In this chapter we discuss the most important disorders of which the radiological images could fit the criteria for child abuse.
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Pergolizzi R, Oestrich AE. Child abuse fracture through physiologic reaction. Pediatr Radiol 1995;25(7):566-7
Shopfner C. Periosteal bone growth in normal infants: a preliminary report. Am J Roentgenol Radium Ther Nucl Med. 1966;97(1):154-63
Brill PW, Winchester P. Differential diagnosis of child abuse. In Kleinman PK (ed). Diagnostic imaging of child abuse. Williams & Wilkins, 1987, pag. 221
Conway JJ, Collins M, Tanz RR et al The role of bone scintigraphy in detecting child abuse. Semin Nucl Med 1993; 23(4):321-33
Kleinman PK, Belanger PL, Karellas A et al Normal metaphyseal radiologic variants not to be confused with findings of infant abuse. Am J Roentgenol 1991;156(4):781-3
Keats T, Anderson M. Atlas of normal roentgen variants that may simulate disease. Mosby, 8th ed, 2006
Weir P, Suttner NJ, Flynn P et al Normal skull suture variant mimicking intentional injury. Br Med J 2006;332(7548): 1020-1
Ward LM, Rauch F, Travers R et al Osteogenesis imperfecta type VII: an autosomal recessive form of brittle bone disease. Bone 2002;31(1):12-8
Barnes AM, Chang W, Morello R et al Deficiency of cartilage-associated protein in recessive lethal osteogenesis imperfecta. N Engl J Med 2006;355(26):2757-64
Cabral WA, Chang W, Barnes AM et al Prolyl 3-hydroxylase 1 deficiency causes a recessive metabolic bone disorder resembling lethal/severe osteogenesis imperfecta. Nat Genet 2007;39(3):359-65
Sillence DO, Senn A, Danks DM. Genetic heterogenecity in osteogenesis imperfecta. J Med Genet 1979;16(2):101-16
Rauch F, Glorieux FH. Osteogenesis imperfecta. Lancet 2004;363(9418):1377-85
Plotkin H. Osteogenesis imperfecta. eMedicine, 2008 http://www.emedicine.com/ped/topic1674.htm
http://www.wrongdiagnosis.com/symptoms/blue_sclerae/causes.htm
Astley R. Metaphyseal fractures in osteogenesis imperfecta. Br J Radiol 1979;52(618):441-3
Ablin DS, Greenspan A, Reinhart M et al Differentiation of child abuse from osteogenesis imperfecta. Am J Roentgenol 1990;154(5):1035-46
Gahagan S, Rimsza ME. Child abuse or osteogenesis imperfecta: how can we tell? Pediatrics 1991;88(5):987-91
Steiner RD, Pepin M, Byers PH. Studies of collagen synthesis and structure in the differentiation of child abuse from osteogenesis imperfecta. J Pediatr 1996;128(4):542-7
Kleinman PK. Diagnostic imaging of child abuse. Mosby, 2nd ed, 1998
Reece RM. Child abuse - medical diagnosis and management. Lippincott Williams & Wilkins 2001, pag 149-51
Knight DJ, Bennet GC. Nonaccidental injury in osteogenesis imperfecta: a case report. J Pediatr Orthop 1990;10(4): 542-4
Thacher TD, Fischer PR, Pettifor JM et al Radiographic scoring method for the assessment of severity of nutritional rickets. J Trop Pediatr 2000;46(3):132-9
Wauters IM, van Soesbergen RM. [Disease caused by lack of sunlight: rickets and osteomalacia]. Ned Tijdschr Geneeskd 1999;143(12): 593-7
Chesney RW. Rickets: the third wave. Clin Pediatr (Phila) 2002;41(3):137-9
Bachrach S, Fisher J, Parks JS. An outbreak of vitamin D deficiency rickets in a susceptible population. Pediatrics 1979; 64(6):871-7
Holick MF. Vitamin D deficiency. N Eng J Med 2007; 357(3):266-81
Gordon CM, DePeter KC, Feldman HA et al Prevalence of vitamin D deficiency among healthy adolescents. Arch Pediatr Adolesc Med 2004;158(6):531-7
Sullivan SS, Rosen CJ, Halteman WA et al Adolescent girls in Maine are at risk for vitamin D insufficiency. J Am Diet Assoc 2005;105(6):971-4
Gordon CM, Feldman HA, Sinclair L et al Prevalence of vitamin D deficiency among healthy infants and toddlers. Arch Pediatr Adolesc Med 2008;162(6):505-12
Bouillon R, Norman AW, Lips PN. Comment on Holick MF. Vitamin D deficiency. N Engl J Med. 2007;357(3):266-81. N Engl J Med. 2007 Nov 8;357(19):1980-1; author reply 1981-2
Baroncelli GI. Comment on Holick MF. Vitamin D deficiency. N Engl J Med. 2007;357(3):266-81. N Engl J Med 2007;357(19):1981; author reply 1981-2
Gartner LM, Greer FR. Section on Breastfeeding and Committee on Nutrition. American Academy of Pediatrics. Prevention of rickets and vitamin D deficiency: new guidelines for vitamin D intake. Pediatrics 2003;111(4 Pt 1): 908-10
Keller KA, Barnes PD. Rickets vs. abuse: a national and international epidemic. Pediatr Radiol 2008;38(11):1210-6
Slovis TL, Chapman S. Vitamin D insufficiency/deficiency - a conundrum. Pediatr Radiol 2008;38(11):1153
Slovis TL, Chapman S. Evaluating the data concerning vitamin D insufficiency/deficiency and child abuse. Pediatr Radiol 2008;38(11):1221-4
Chesney RW. Rickets or abuse, or both? Pediatr Radiol 2008;38(11):1217-8
Jenny C. Rickets or abuse? Pediatr Radiol 2008;38(11): 1219-20
Moncrieff M, Fadahunsi TO. Congenital rickets due to maternal vitamin D deficiency. Arch Dis Child 1974;49(10): 810-1
Kirk J. Congenital rickets - a case report. Aust Paediatr J 1982;18(4):291-3
al-Senan K, al-Alaiyan S, al-Abbad A et al Congenital rickets secondary to untreated maternal renal failure. Perinatol 2001;21(7):473-5
Mohapatra A, Sankaranarayanan K, Kadam SS et al Congenital rickets. J Trop Pediatr 2003;49(2):126-7
Ford JA, Davidson DC, McIntosh WB et al Neonatal rickets in Asian immigrant population. Br Med J 1973;3(5873):211-2
Zeidan S, Bamford M. Congenital rickets with maternal pre-eclampsia. J R Soc Med 1984;77(5):426-7
Zeiss J, Wycliffe ND, Cullen BJ et al Radiological case of the month. Am J Dis Child 1988;142(12):1367-8
Duncan AA, Chandy J. Case report: multiple neonatal fractures - dietary or deliberate? Clin Radiol 1993;48(2):137-9
Kleinman PK. Miscellaneous forms of abuse and neglect. In Kleinman PK. Diagnostic imaging of child abuse. Mosby, 2nd ed, 1998, pag. 343-61
Frenette PS, Atweh GF. Sickle cell disease: old discoveries, new concepts, and future promise. J Clin Invest 2007;117(4): 850-8
Madani G, Papadopoulou AM, Holloway B et al The radiological manifestations of sickle cell disease. Clin Radiol 2007;62(6):528-38
Brooks AS, Dooijes D. From gene to disease: arteriohepatic dysplasia or Alagille syndrome [article in dutch]. Ned Tijdschr Geneesk 2003;147(25):1213-5
Scheimann A. Alagille syndrome. Emedicine, 2006
de Halleux J, Rombouts JJ, Otte JB. Evolution of post-fracture bone deformities in an infant with hepatic osteodystrophy on Alagille syndrome [article in french]. Rev Chir Orthop Reparatrice Appar Mot 1998;84(4):381-6
Metules T. Duchenne muscular dystrophy. RN 2002 Oct;65(10):39-44
Karol LA. Scoliosis in patients with Duchenne muscular dystrophy. J Bone Joint Surg Am 2007;89(Suppl 1):155-62
McDonald DG, Kinali M, Gallagher AC et al Fracture prevalence in Duchenne muscular dystrophy. Dev Med Child Neurol 2002;44(10):695-8
Hefti F, Bollini G, Dungl P et al Congenital pseudarthrosis of the tibia: history, etiology, classification, and epidemiologic data. J Pediatr Orthop B 2000;9(1):11-5
Crawford AH. Neurofibromatosis in children. Acta Orthop Scand Suppl 1986; 218:1-60.
Caffey J. Infantile cortical hyperostosis; a review of the clinical and radiographic features. Proc R Soc Med 1957;50(5): 347-54
Saul RA, Lee WH, Stevenson RE. Caffey’s disease revisited. Further evidence for autosomal dominant inheritance with incomplete penetrance. Am J Dis Child 1982;136(1):55-60
Ved N, Haller JO. Periosteal reaction with normal-appearing underlying bone: a child abuse mimicker. Emerg Radiol 2002;9(5):278-282.
Menkes JH, Alter M, Steigleder GK et al A sex-linked recessive disorder with retardation of growth, peculiar hair and focal cerebral and cerebellar degeneration. Pediatrics 1962;29:764-79
Kapur S, Higgins JV, Delp K et al Menkes syndrome in a girl with X-autosome translocation. Am J Med Genet 1987; 26(2):503-10
Abusaad I, Mohammed SN, Ogilvie CM et al Clinical expression of Menkes disease in a girl with X;13 translocation. Am J Med Genet 1999;87(4):354-9
Danks DM, Cartwright E, Campbell PE et al Is Menkes’ syndrome a heritable disorder of connective tissue? (Letter) Lancet 1971;2(7733):1089
Tonnesen T, Kleijer WJ, Horn N. Incidence of Menkes disease. Hum Genet 1991;86(4): 408-10
Gu YH, Kodama H, Shiga K et al A survey of Japanese patients with Menkes disease from 1990 to 2003: incidence and early signs before typical symptomatic onset, pointing the way to earlier diagnosis. J Inherit Metab Dis 2005;28(4): 473-8
Chang CH. Menkes disease. Emedicine 2006 http://www.emedicine.com/neuro/topic569.htm
Jankov RP, Boerkoel CF, Hellmann J et al Lethal neonatal Menkes’ disease with severe vasculopathy and fractures. Acta Paediat 1998;87(12):1297-300
Grünebaum M, Horodniceanu C, Steinherz R. The radiographic manifestations of bone changes in copper deficiency. Pediatr Radiol 1980;9(2):101-4
Akbarnia BA, Campbell RM. The role of the orthopedic surgeon in child abuse. In Morrissy RT, Winter RB. Lovell and Winter’s Pediatric Orthopaedics. Lippincott, Williams and Wilkins Publ, 3rd ed, 1990
Spencer JA, Grieve DK Congenital indifference to pain mistaken for non-accidental injury. Br J Radiol 1990;63(748): 308-10
Offiah AC, Hall CM. Radiological diagnosis of the constitutional disorders of bone. As easy as A, B, C? Pediatr Radiol 2003;33(3):153-61
Spranger JW, Brill PW, Poznanski A. Bone dysplasias: An atlas of genetic disorders of skeletal development. Oxford University Press 2002, pag. 100-2
Elliott AM, Field FM, Rimoin DL et al Hand involvement in Schmid metaphyseal chondrodysplasia. Am J Med Genet A 2005;132A(2):191-3
Spranger JW, Brill PW, Poznanski A. Bone dysplasias: An atlas of genetic disorders of skeletal development. Oxford University Press 2002, pag. 236-8
Currarino G, Birch JG, Herring JA. Developmental coxa vara associated with spondylometaphyseal dysplasia (DCV/SMD): ‘SMD-corner fracture type’ (DCV/SMD-CF) demonstrated in most reported cases. Pediatr Radiol 2000;30(1): 14-24
Spranger JW, Brill PW, Poznanski A. Bone dysplasias: An atlas of genetic disorders of skeletal development. Oxford University Press 2002, pag. 460
Loud KJ, Gordon CM. Adolescent bone health. Arch Pediatr Adolesc Med 2006;160(10):1026-32
van der Sluis IM, de Muinck Keizer-Schrama SM. Osteoporosis in childhood: bone density of children in health and disease. J Pediatr Endocrinol Metab 2001;14(7):817-32
Lorenc RS. Idiopathic juvenile osteoporosis. Calcif Tissue Int 2002;70(5):395-7
van Rijn RR, van der Sluis IM, Link TM et al Bone densitometry in children: a critical appraisal. Eur Radiol 2003; 13(4):700-10
Spranger JW, Brill PW, Poznanski A. Bone dysplasia. An atlas of genetic disorders of skeletal development. Oxford University Press 2002, pag. 261-326
Mornet E. Hypophosphatasia. Orphanet J Rare Dis 2007; 2:40
Moulin P, Vaysse F, Bieth E et al Hypophosphatasia may lead to bone fragility: don’t miss it. Eur J Pediatr 2008 [Epub]
Blyth MJG, Kincaid R, Craigen MAC et al The changing epidemiology of acute and subacute haematogenous osteomyelitis in children. J Bone Joint Surg Br 2001;83(1):99-102
Taylor MN, Chaudhuri R, Davis J et al Childhood osteomyelitis presenting as a pathological fracture. Clin Radiol 2008;63(3):348-51
Girschick H. Chronic recurrent multifocal osteomyelitis in children. Orphanet encyclopedia, March 2002. http://www.orpha.net/data/patho/GB/uk-CRMO.pdf
Brown T, Wilkinson RH. Chronic recurrent multifocal osteomyelitis. Radiology 1988;166(2):493-6
HK, Smith WL, Sato Y et al Congenital syphilis mimicking child abuse. Pediatr Radiol 1995;25(7):560-1
Solomon A, Rosen E. The aspect of trauma in the bone changes of congenital lues. Pediatr Radiol 1975;3(3): 176-8
Caffey J. Some traumatic lesions in growing bones other than fractures and dislocations: clinical and radiological features. Br J Radiol 1957;30(353): 225-38
SEER Cancer Statistics Review 1975-2005, National Cancer Institute http://seer.cancer.gov/csr/1975_2005/sections.html
McGregor LM, Metzger ML, Sanders R et al Pediatric cancers in the new millennium: dramatic progress, new challenges. Oncology (Williston Park) 2007;21(7):809-20
Crist WM, Pui CH. The Leukemias. In Behrman RE, Kliegman RM, Arvin AM (eds). Nelson Textbook of Pediatrics. Saunders, 1996, 15th ed.
Sinigaglia R, Gigante C, Bisinella G et al Musculoskeletal manifestations in pediatric acute leukemia. J Pediatr Orthop 2008;28(1):20-8
Miller SL, Hoffer FA. Malignant and benign bone tumors. Radiol Clin North Am 2001;39(4):673-99
Kransdorf MJ, Stull MA, Gilkey FW et al Osteoïd osteoma. Radiographics 1991;11(4):671-96
Berry M, Mankin H, Gebhardt M et al Osteoblastoma: a 30-year study of 99 cases. J Surg Oncol 2008;98(3): 179-83
Nakatani T, Yamamoto T, Akisue T et al Periosteal osteoblastoma of the distal femur. Skeletal Radiol 2004;33(2): 107-11
Leonard MB. Glucocorticoid-induced osteoporosis in children: impact of the underlying disease. Pediatrics 2007; 119(Suppl 2):S166-74
Meister B, Gassner I, Streif W et al Methotrexate osteopathy in infants with tumors of the central nervous system. Med Pediatr Oncol 1994;23(6):493-6
Schwartz AM, Leonidas JC. Methotrexate osteopathy. Skeletal Radiol 1984;11(1):13-6
Siegel NJ, Spackman TJ. Chronic hypervitaminosis A with intracranial hypertension and low cerebrospinal fluid concentration of protein. Two illustrative cases. Neurology 1972;11(10):580-4
Caffey J. Chronic poisoning due to excess of vitamin A. Description of the clinical and roentgen manifestations in seven infants and young children. Pediatrics 1950;5(4): 672-88
Gamble JG, Ip SC. Hypervitaminosis A in a child from megadosing. J Pediatr Orthop 1985;5(2):219-21
Frame B, Jackson CE, Reynolds WA et al Hypercalcemia and skeletal effects in chronic hypervitaminosis A. Ann Intern Med 1974;80(1):44-8
Mahoney CP, Margolis MT, Knauss TA et al Chronic vitamin A intoxication in infants fed chicken liver. Pediatrics 1980;65(5):893-7
Grissom LE, Griffin GC, Mandell GA. Hypervitaminosis A as a complication of treatment for neuroblastoma. Pediatr Radiol 1996;26(3):200-2
Eid NS, Shoemaker LR, Samiec TD. Vitamin A in cystic fibrosis: case report and review of the literature. J Pediatr Gastroenterol Nutr 1990;10(2):265-9
Kimmoun A, Leheup B, Feillet F et al Hypercalcemia revealing iatrogenic hypervitaminosis A in a child with autistic troubles [article in french]. Arch Pediatr 2008; 15(1):29-32
Olson JA. Recommended dietary intakes (RDI) of vitamin A in humans. Am J Clin Nutr 1987;45(4):704-16
Mendoza FS, Johnson F, Kerner JA et al Vitamin A intoxication presenting with ascites and a normal vitamin A level. West J Med 1988;148(1):88-90
Kerins DM, Murray R, FitzGerald GA. Prostacyclin and prostaglandin E1: molecular mechanisms and therapeutic utility. Prog Hemost Thromb 1991;10:307-37
Matzinger MA, Briggs VA, Dunlap HJ et al Plain film and CT observations in prostaglandin-induced bone changes. Pediatr Radiol 1992;22(4):264-6
Poznanski AK, Fernbach SK, Berry TE. Bone changes from prostaglandin therapy. Skeletal Radiol 1985;14(1): 20-5
Russell RG, Croucher PI, Rogers MJ. Bisphosphonates: pharmacology, mechanisms of action and clinical uses. Osteoporos Int 1999;9(Suppl 2):S66-80
Reszka AA, Rodan GA. Nitrogen-containing bisphosphonate mechanism of action. Mini Rev Med Chem 2004;4(7): 711-9
Boonen S, Vanderschueren D, Venken K et al Recent developments in the management of postmenopausal osteoporosis with bisphosphonates: enhanced efficacy by enhanced compliance. J Intern Med 2008;264(4):315-32
Glorieux FH. Treatment of osteogenesis imperfecta: who, why, what? Horm Res 2007;68(Suppl 5):8-11
Glorieux FH, Rauch F. Medical therapy of children with fibrous dysplasia. J Bone Miner Res 2006;21(Suppl 2): P110-3
Batch JA, Couper JJ, Rodda C et al Use of bisphosphonate therapy for osteoporosis in childhood and adolescence. J Paediatr Child Health 2003;39(2):88-92
Cimaz R. Osteoporosis in childhood rheumatic diseases: prevention and therapy. Best Pract Res Clin Rheumatol 2002;16(3):397-409
Andiran N, Alikaşifoğlu A, Küpeli S et al Use of bisphosphonates for resistant hypercalcemia in children with acute lymphoblastic leukemia: report of two cases and review of the literature. Turk J Pediatr 2006;48(3):248-52
Bateson EM. The relationship between Blount’s disease and bow legs. Br J Radiol 1968;41(482):92-101
Thompson GH, Carter JR. Late onset tibia vara (Blount’s disease): current concepts. Clin Orthop Rel Res 1990; (255):24-35
Henderson RC. Tibia vara: a complication of adolescent obesity. J Pediatr 1992;121(3):482-6
Appleton RE. Seizure-related injuries in children with newly diagnosed and untreated epilepsy. Epilepsia 2002; 43(7):764-7
Babayigit A, Dirik E, Bober E et al Adverse effects of antiepileptic drugs on bone mineral density. Pediatr Neurol 2006;35(3):177-81
Desai KB, Ribbans WJ, Taylor GJ. Incidence of five common fracture types in an institutional epileptic population. Injury 1996; 27(10):97-100
Lingam S, Joester J. Spontaneous fractures in children and adolescents with cerebral palsy. Br Med J 1994; 309(6949): 265
Presedo A, Dabney KW, Miller F. Fractures in patients with cerebral palsy. J Pediatr Orthop 2007;27(2):147-53
Samaniego EA, Sheth RD. Bone consequences of epilepsy and antiepileptic medications. Semin Pediatr Neurol 2007; 14(4):196-200
Blanco JS, Dahir G, McCrystal K. Bilateral femoral neck fractures secondary to hypocalcemic seizures in a skeletally immature patient. Am J Orthop 1999;28(3):187-8
Schnadower D, Agarwal C, Oberfield SE et al Hypocalcemic seizures and secondary bilateral femoral fractures in an adolescent with primary vitamin D deficiency. Pediatrics 2006;118(5):2226-30
Sheth RD. Bone health in pediatric epilepsy. Epilepsy Behav 2004; 5(Suppl 2):S30-5
Sheth RD, Gidal BE, Hermann BP. Pathological fractures in epilepsy. Epilepsy Behav 2006;9(4):601-5
Wirrell EC. Epilepsy-related injuries. Epilepsia 2006;47 (Suppl 1):79-86
Harnack GA von. Säuglings-Skorbut (Möller-Barlowsche Krankheit). In Harnack GA von. Kinderheilkunde. Springer Verlag, 1977, pag. 74
Finberg L. Concepts and diet analysis. In Finberg L. Saunders Manual of Pediatric Practice. WB Saunders Company, 1998, pag. 23
Riepe FG, Eichmann D, Oppermann HC et al Special feature: picture of the month. Infantile scurvy. Arch Pediatr Adolesc Med 2001;155(5):607-8
Hoeffel JC, Lascombes P, Mainard L et al Cone epiphysis of the knee and scurvy. Eur J Pediatr Surg 1993;3(3): 186-9
Maroscia D, Negrini AP, Salsano G et al Scurvy: a disease that has not yet disappeared. Apropos a case [Article in Italian] Radiol Med (Torino) 1992;83(4):462-4
Burches Greus E, Lecuona Lopez C, Ardit Lucas J et al Radiologic diagnosis of Moller-Barlow disease (scurvy). Apropos of a case [Article in Spanish] An Esp Pediatr 1991;34(3):243-6
Ratanachu-Ek S, Sukswai P, Jeerathanyasakun Y et al Scurvy in pediatric patients: a review of 28 cases. J Med Assoc Thai 2003;86(Suppl 3):S734-40
Paul DK, Lahiri M, Garai TB et al Scurvy persists in the current era. Indian Pediatr 1999;36(10):1067
Ahuja SR, Karande S. An unusual presentation of scurvy following head injury. Indian J Med Sci 2002;56(9): 440-2
Yilmaz S, Karademir S, Ertan U et al Scurvy. A case report. Turk J Pediatr 1998;40(2):249-53
Caksen H, Odabas D. Keratomalacia and scurvy in a severely malnourished infant. Pediatr Dermatol 2002;19(1): 93-5
Narchi H, Thomas M. A painful limp. J Paediatr Child Health 2000;36(3):277-8
Najera-Martinez P, Rodriguez-Collado A, Gorian-Maldonado E et al Scurvy. A study of 13 cases [Article in Spanish] Bol Med Hosp Infant Mex 1992;49(5):280-5
Cheung E, Mutahar R, Assefa F et al An epidemic of scurvy in Afghanistan: assessment and response. Food Nutr Bull 2003;24(3):247-55
Patterson CR, Burns J, McAllion SJ. Osteogenesis imperfecta: the distinction from child abuse and the recognition of a variant form. Am J Med Genet 1993;45(2): 187-92
Ablin DS, Sane SM. Non-accidental injury: confusion with temporary brittle bone disease and mild osteogenisis imperfecta. Pediatr Radiol 1997;27(2):111-3
Ablin DS. Osteogenesis imperfecta: a review. Can Assoc Radiol J 1998;49(2):110-23
Chapman S, Hall CM. Non-accidental injury or brittle bones. Pediatr Radiol 1997;27(2):106-10
Cazalet J. Note Re R (A Minor) (Expert Evidence) [1991] 1 FLR 291
Lynch MA. A judicial comment on temporary brittle bone disease [Letter]. Arch Dis Child 1995;73(4): 379
Wissow LS. Child abuse and neglect. N Engl J Med 1995;332(21):1425-31
Wall J. Re: AB (child abuse: expert witnesses) [1995] 1 FLR 181-200
Singer P. Non-Accidental Injury: Expert Evidence [2001] 2 FLR 1, 27. Royal Courts of Justice, Family Division
Dyer O. Doctor accused of misrepresenting evidence in child abuse cases. Br Med J 2004;328(7433):187
General Medical Council. Br Med J 2004;328:604
Mendelson KL. Critical review of ‘temporary brittle bone disease’. Pediatr Radiol 2005;35(10):1036-40
Miller ME, Hangartner TN. Temporary brittle bone disease: association with decreased fetal movement and osteopenia. Calcif Tissue Int 1999;64(2):137-143
Miller ME. Hypothesis: fetal movement influences fetal and infant bone strength. Med Hypotheses. 2005;65(5): 880-6
Altman DH, Smith RL. Unrecognized trauma in infants and children. J Bone Joint Surg Am 1960;42-A: 407-13
O’Neill JA Jr, Meacham WF, Griffin PP et al Patterns of injury in the battered child syndrome. J Trauma 1973; 13(4):332-9
Sillence D. Osteogenesis imperfecta: an expanding panorama of variants. Clin Orthop 1981;(159):11-25
Sillence D, Butler B, Latham M et al Natural history of blue sclerae in osteogenesis imperfecta. Am J Med Genet 1993;45(2):183-6
Taitz LS. Child Abuse and metabolic bone disease: are they often confused? Br Med J 1991;302(6786):1244
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Bilo, R.A.C., Robben, S.G.F., van Rijn, R.R. (2010). Normal Variants, Congenital and Acquired Disorders. In: Forensic Aspects of Pediatric Fractures. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-78716-7_7
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