kindliche 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.
Febrile
newborn who had a traumatic delivery due to shoulder dystocia 3 days agoCXR AP shows lucent lines without surrounding periosteal reaction through the left 5th-7th ribs posteriorly.The diagnosis was acute left 5th-7th posterior rib fractures caused by birth trauma.
Infant with a
large burn on the scalp3D CT reconstruction with contrast of the chest shows callus formation around the right 4th-8th ribs and left 4th-9th ribs anteriorly.The diagnosis was chronic right 4th-8th and chronic left 4-9th anterior rib fractures in a child abuse patient.
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 with
right hip painAP and lateral radiographs of the right femur (above) show a linear lucency through the diaphysis of the right femur with no associated periosteal reaction. CXR AP shows callus formation around the lateral aspect of the right 5th-6th ribs.The diagnosis was an acute nondisplaced fracture of the right femur and chronic right 5th-6th lateral rib fractures in a child abuse patient.
Infant with
swollen right legAP radiograph of the right femur shows a lucency through the diaphysis of the right femur with no associated periosteal reaction. CXR AP shows callus formation around the right 7th and 9th ribs laterally, the right 7th-9th ribs posteriorly, the left 3rd-7th ribs laterally and the left 8th rib posteriorly.The diagnosis was an acute displaced fracture of the right femur and chronic rib fractures of the right 7th and 9th ribs laterally, the right 7th-9th ribs posteriorly, the left 3rd-7th ribs laterally and the left 8th rib posteriorly 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.
Infant post
unexplained cardiac arrest. CXR AP shows acute fractures of the left 5th through 8th ribs laterally.The diagnosis was lateral rib fractures in child abuse.
Assoziationen und Differentialdiagnosen zu kindliche Rippenfrakturen: