Test 3

  • Michael Paddock
  • Amaka C. Offiah


Children under the age of 1 year, and in particular less than 4 months, have the highest incidence of metaphyseal and abusive fractures. CMLs are less common in older, more ambulant children. In the presence of CMLs, there is a strong association with further abusive fractures identified on the skeletal survey which is why identification of these fractures is paramount. The distal femur, proximal and distal tibia, and proximal humeri are the commonest locations for metaphyseal fractures.


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Further Reading

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Michael Paddock
    • 1
  • Amaka C. Offiah
    • 2
  1. 1.Sheffield Teaching HospitalsSheffieldUK
  2. 2.Academic Unit of Child Health, Department of Oncology and MetabolismUniversity of SheffieldSheffieldUK

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