Rib Fractures and More, pediatric, suspected abuse
Claim CME CreditPOINT OF CARE INFORMATION
This CME activity consists of the student reviewing the video of the professor reviewing the case as well as the associated DICOM image set related to the case in question.
Learning Objectives
As a result of participation in this activity, participants should be able to:
- Provide improved patient care.
- Greater knowledge of the imaging characteristics of the patient's disease.
- Understand a better approach to interpretation of studies.
Faculty Disclosure
Mehmet Albayram, MD, Ivan Davis, MD, Mariam Hanna, MD, Anthony Mancuso, MD, Ronald Quisling, MD, Dhanashree Rajderkar, MD, Priya Sharma, MD, Roberta Slater, MD and Joann Stamm, MBA have disclosed that they have no relevant financial relationships. No one else is a position to control content have any financial relationship to disclose.
CME Advisory Committee Disclosure:
Conflict of interest information for the CME Advisory Committee members can be found on the following website: https://cme.ufl.edu/disclosure/.
Continuing Medical Education Credit
Accreditation: The University of Florida College of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
Credit: The University of Florida College of Medicine designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
CB1546-Rib Fractures and More, pediatric, suspected abuse
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CB1546-Rib Fractures and More, pediatric, suspected abuse
Case ReportHistory
Exam
Prior Study
Findings
Findings
Frontal and lateral views of the skull show no fracture, splitting of the sutures, scalp soft tissue thickening in tangent, or intracranial calcifications. There are no erosions on the sella.
There are multiple compression fractures of the thoracolumbar vertebral bodies. The age of the fractures is undetermined. There are compression fractures of the T10, T11, L1, L2, and possibly the T9 vertebral body. There is no significant adjacent soft tissue opacity to suggest paraspinal hematomas. There is mild decreased vertebral body height of the C4 vertebral body.
There are multiple rib fractures in different stages of healing bilaterally. There is a healing right first anterior rib fracture. There are healing fractures of the right 10th and 11th posterior ribs. The left fifth through ninth ribs demonstrate lateral rib fractures. There is a suspected acute fracture of the left eighth posterior rib. There is a healing fracture of the left anterior first rib. There are multiple healing rib fractures (left fifth through 11th ribs). There are posterior fractures of the left 10th and 11th ribs. There is heterotopic ossification/calcification/periosteal reaction along the lower left lateral chest wall.
The lungs are normally aerated. There is no pulmonary contusion, pneumothorax, or pleural effusion. The heart and mediastinum are normal in size and shape. There is residual thymus. There is a left aortic arch and left descending aorta. The ribs, clavicles, and scapula are normal. There is no bowel obstruction. The liver is normal in size. There are no abdominal masses displacing air-filled bowel and there are no abdominal calcifications.
There is a nondisplaced fracture of the medial metaphysis of the right tibia. The bones of the pelvis and the rest of the extremities are normal. There is no fracture, dislocation, cortical erosion, or trabecular distortion. There is no periosteal reactive new bone formation. There is normal cortical thickness and the zone of provisional calcification is intact. There is no opaque foreign material in the soft tissues. There is no metabolic one disease
