靠近的中部骨甲基细胞突起 - 一种正常变体
Bryan Zuniga1,2, Nicholas Lopez3,4, Kirsten Simonton5,6
1Nemours Children's Health System, Orlando, United States, 6535 Nemours Pkwy, FL, 32827. drzuniga@me.com.
Pediatric radiology
|August 7, 2025
概括
骨凸起,在婴儿中是一种正常变体,在儿童虐待骨调查的7.7%中出现在近端中端骨甲基上. 这一发现并不表明骨折,不应被误认为是滥用.
科学领域:
- 儿科放射学 儿科放射学
- 骨发育不良症 骨发育不良症
- 儿童虐待评估 儿童虐待评估
背景情况:
- 骨异常在儿童虐待评估中至关重要.
- 正常变种可以模仿滥用,导致误诊.
- 骨凸起是近端中端骨转化的一个正常变体.
研究的目的:
- 为了确定在接受骨调查以评估虐待儿童的婴儿中部的患病率.
- 为了区分骨块与创伤性发现.
主要方法:
- 对被评估为虐待儿童的婴儿骨调查的回顾性审查.
- 评估在近端中端骨转化处是否存在骨凸.
- 记录骨折愈合变化周围的小腿.
主要成果:
- 在7.7%的病例中 (20/260),发现了小腿骨.
- 骨在70%的病例中是持久的,并且没有出现骨折愈合的迹象.
- 这一发现在较年轻的婴儿 (平均年龄为3.5个月) 中更常见,并且往往是双边的.
结论:
- 骨凸是接受骨调查的婴儿中常见的正常变体.
- 它在放射学上与骨折不一致,在儿童虐待评估中不应被误认为是创伤性发现.
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