dorsale Rippenfrakturen

Infant with

cough who had experienced a traumatic delivery 4 months agoCXR AP shows clear lungs and an area of callus surrounding the right 7th rib posteriorly.The diagnosis was chronic right 7th posterior rib fracture caused by a traumatic birth.

Infant with

respiratory distressCXR AP shows poorly expanded but grossly clear lungs bilaterally. There is dense periosteal reaction / callus formation around the posterior aspect of the left 8th and 9th ribs.The diagnosis was chronic left 8th-9th posterior rib fractures in a child abuse patient.

Infant who

had been abusedCXR (above) and complete skeletal survey showed no evidence of rib fractures. Gross pathological image (below) shows callus formation along the posterior aspect of the left 4th-8th ribs.The diagnosis was left 4th-8th chronic posterior rib fractures which were not detected on the skeletal survey in a child abuse patient.