Observational studyPediatric radiology2016
The classic metaphyseal lesion and traumatic injury.
Observational study in Pediatric radiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 33 citations in OpenAlex.
- Fractures in suspected child abuse: A critical review of the evidence cited by the American Academy of Pediatrics and Royal College of Paediatrics and Child Health.Forensic science international. Synergy · 2026Article
- Sentinel injuries in child abuse: a multidisciplinary approach.International journal of legal medicine · 2026Article
- Performance and Yield of Retinal Examinations in Cases of Suspected Physical Abuse Without Intracranial Injury.Pediatric emergency care · 2026Article
- Can metaphyseal variations in the distal femurs and proximal tibias be distinguished from classic metaphyseal lesions?Pediatric radiology · 2025Article
- Osteogenesis Imperfecta or Non-accidental Trauma? The Diagnostic Dilemma in Pediatric Fractures.Journal of the Pediatric Orthopaedic Society of North America · 2025Article
- Post-mortem skeletal survey (PMSS) versus post-mortem computed tomography (PMCT) for the detection of corner metaphyseal lesions (CML) in children.European radiology · 2024Article
- Whole-body MR imaging in suspected physical child abuse: comparison with skeletal survey and bone scintigraphy findings from the PEDIMA prospective multicentre study.European radiology · 2021Article
- Accuracy of ultrasound in the diagnosis of classic metaphyseal lesions using radiographs as the gold standard.Pediatric radiology · 2020Article
- Prevalence of metaphyseal injury and its mimickers in otherwise healthy children under two years of age.Pediatric radiology · 2019Article
- Biomechanics of the classic metaphyseal lesion: finite element analysis.Pediatric radiology · 2017Article
- Non-accidental trauma: the role of radiology.Emergency radiology · 2017Review
- Are There Hallmarks of Child Abuse? I. Osseous Injuries.Academic forensic pathology · 2016Review
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIt is widely accepted that the classic metaphyseal lesion (CML) is a traumatic lesion, strongly associated with abuse in infants. Nevertheless, various non-traumatic origins for CMLs continue to be suggested in medical and legal settings. No studies to date systematically describe the association of CMLs with other traumatic injuries.
objectiveThe primary objective of this study is to examine the association of CMLs with other traumatic injuries in a large data set of children evaluated for physical abuse. MATERIALS AND
methodsThis was a retrospectively planned secondary analysis of data from a prospective, observational study of children <120 months of age who underwent evaluation by a child abuse physician. For this secondary analysis, we identified all children ≤12 months of age with an identified CML and determined the number and type of additional injuries identified. Descriptive analysis was used to report frequency of additional traumatic injuries.
resultsAmong 2,890 subjects, 119 (4.1%) were identified as having a CML. Of these, 100 (84.0%) had at least one additional (non-CML) fracture. Thirty-three (27.7%) had traumatic brain injury. Nearly half (43.7%) of children had cutaneous injuries. Oropharyngeal injuries were found in 12 (10.1%) children. Abdominal/thoracic injuries were also found in 12 (10.1%) children. In all, 95.8% of children with a CML had at least one additional injury; one in four children had three or more categories of injury.
conclusionCMLs identified in young children are strongly associated with traumatic injuries. Identification of a CML in a young child should prompt a thorough evaluation for physical abuse.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.