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Updated: Jun 20, 2026
12:04
Assessment of Bone Fracture Healing Using Micro-Computed Tomography
Published on: December 9, 2022
[Diagnostic image; an infant with suspicious fractures]
H P Marcel Pranger1, Henk-Jan ten Duis
1Universitair Medisch Centrum Groningen, afd. Traumatologie, Groningen, The Netherlands. h.p.m.pranger@chir.umcg.nl
Nederlands Tijdschrift Voor Geneeskunde
|September 30, 2009
Summary
Bucket-handle fractures in infants, a subtle sign of potential abuse, were identified in a 10-month-old boy. These fractures, often missed, are highly indicative of non-accidental trauma.
Area of Science:
- Pediatric orthopedics
- Child abuse detection
- Radiology
Background:
- Infant fractures are a critical diagnostic challenge.
- Identifying subtle fractures is key to child protection.
- Bucket-handle fractures are a specific fracture pattern.
Observation:
- A 10-month-old boy presented with a left upper leg hematoma.
- Radiographic examination revealed bucket-handle fractures.
- The fractures were located in the left lower extremity.
Findings:
- Bucket-handle fractures in infants are often overlooked.
- These fractures possess a high predictive value for child abuse.
- Early recognition is crucial for timely intervention.
Implications:
- Highlights the importance of recognizing subtle fracture patterns in infants.
- Emphasizes the role of skeletal surveys in suspected abuse cases.
- Informs pediatricians and radiologists about a significant indicator of non-accidental trauma.
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