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Posterior rib fracture

Definition

A fracture at the posterior rib near the costotransverse junction. Produced by forceful anteroposterior chest compression (as in squeezing), not by simple falls or CPR. Among the most specific skeletal indicators of inflicted injury in infants.

Related terms

Abusive head trauma (AHT)
Intracranial injury resulting from violent shaking, with or without impact. Findings include subdural haematoma, subarachnoid haemorrhage, diffuse axonal injury, and retinal haemorrhages....
Child Advocacy Centre (CAC)
A child-focused facility that houses the medical, investigative, and support functions of a child abuse case in one location. The multidisciplinary team...
Metaphyseal corner fracture
A fracture through the metaphyseal collar of a long bone, producing a triangular or bucket-handle fragment. Caused by traction and torsion forces...
Non-accidental injury (NAI)
Physical harm inflicted deliberately or through gross neglect rather than by accident. The term is preferred over 'child abuse' in clinical documentation...
Skeletal survey
A full radiographic series of the skeleton (AP skull, lateral skull, chest, spine, pelvis, and all long bones) performed in suspected NAI...

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