
@article{ref1,
title="The risk of assuming abuse in an infant with an isolated metaphyseal lesion: a case report",
journal="JBJS case connector",
year="2017",
author="Norrell, Kirsten and Hennrikus, William",
volume="7",
number="3",
pages="e69-e69",
abstract="CASE: The classic metaphyseal lesion, or corner fracture, is considered a strong indicator of nonaccidental trauma. In the present case, the parents brought their 8-month-old boy to a community hospital after he stopped crawling on the right leg. A knee radiograph demonstrated an isolated metaphyseal lesion, which prompted concern for child abuse. The patient was transferred to the nearest academic medical center; the pediatric radiology expert in child abuse determined that the lesion was a normal variant and not the result of abuse. <br><br>CONCLUSION: An isolated metaphyseal lesion is not pathognomonic for child abuse, and a thoughtful differential diagnosis should be considered.<p /> <p>Language: en</p>",
language="en",
issn="2160-3251",
doi="10.2106/JBJS.CC.16.00221",
url="http://dx.doi.org/10.2106/JBJS.CC.16.00221"
}