Battered child syndrome

History: 3-month-old infant with lethargy and an interhemispheric subdural hematoma on a head CT

Findings: Anteroposterior view of lower extremities from a skeletal survey reveals subtle iregularity of the distal tibia. Dedicated views of the left ankle reveal the classic metaphyseal ‘corner’ and ‘bucket handle’ fractures of the distal left tibia.

Discussion: The classic ‘metaphyseal corner’ and ‘bucket handle’ fractures are considered virtually pathognomonic of battered child syndrome and result from indirectly applied shearing forces during shaking. These fractures are often subtle, and the case presented reinforces the importance of following suspicious areas on skeletal surveys with dedicated high-quality radiographs. Shaken infants commonly prescient with seizures, lethargy, coma, retinal hemorrhages on findoscopic examination, and interhmispheric hematomas caused by rupture of bridging veins from the cerebral cortex to the superior saggital sinus.

 

Source: Aunt Minnie’s Atlas and imaging specific diagnosis (not images)

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Google photo

You are commenting using your Google account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s