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Creating Rigidly Stabilized Fractures for Assessing Intramembranous Ossification, Distraction Osteogenesis, or Healing of Critical Sized Defects
Published on: April 11, 2012
Metaphyseal fragmentation with physiologic bowing: a finding not to be confused with the classic metaphyseal lesion
Paul K Kleinman1, Zahir U Sarwar, Alice W Newton
1Department of Radiology, Children's Hospital Boston, Harvard Medical School, 300 Longwood Ave., Boston, MA 02115, USA. paul.kleinman@childrens.harvard.edu
Objective:
The purpose of this study was to describe the varied appearances of metaphyseal fragmentation associated with physiologic bowing and to estimate their frequency in children undergoing radiographic evaluation.
Conclusion:
The results of this study suggest that metaphyseal fragmentation is occasionally encountered in children with physiologic bowing. Results of a systematic imaging assessment should minimize confusion of this innocent radiologic alteration with the classic metaphyseal lesion of child abuse.
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