TY  - JOUR
PY  - 2017//
TI  - The risk of assuming abuse in an infant with an isolated metaphyseal lesion: a case report
JO  - JBJS case connector
A1  - Norrell, Kirsten
A1  - Hennrikus, William
SP  - e69
EP  - e69
VL  - 7
IS  - 3
N2  - 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>
LA  - en
SN  - 2160-3251
UR  - http://dx.doi.org/10.2106/JBJS.CC.16.00221
ID  - ref1
ER  -