Suspicious Fractures for Abuse - Non-accidental Trauma



Metaphyseal fracture (Bucket handle fracture or Corner fracture) 

 • Present in up to 50% Of abused infants < 18 months Old 

 • Pathognomonic for non-accidental trauma 

Rib fracture 

 • Posterior ribs 

 • May have no overlying bruising 

 • Anterior rib fractures may occur with CPR (not posterior) 

Skull fracture 

 • Non-parietal 

 • Multiple bones 

 • Diastatic sutures 

 • Depressed

Scapular fracture 

Sternal fracture 



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