Specificity of Radiologic Findings as Indicators of NAI

Specificity of Radiologic Findings as Indicators of AbuseAdapted from Kleinman PKK (ed): Diagnostic imaging of child abuse, ed 2, Mosby, Chicago, 1998, p 9.

High Specificity

Classic metaphyseal lesions Rib fractures, especially posterior Scapular fractures Sternal fractures

Moderate Specificity

Multiple fractures, especially bilateral Fractures of different ages Epiphyseal separations Vertebral body fractures and subluxations Digital fractures Complex skull fractures

Common, but Low Specificity

Subperiosteal new bone formation Clavicle fractures Long bone fractures Linear skull fractures