The radiological dating of injuries
A protocol for imaging in suspected abuse should be present to provide high quality radiographs.
The future safety of a child with the shaking infant syndrome rests on the radiologist's ability to recognize these characteristic features.
Fractures of the acromion, sternum and spinous processes are so rare in other conditions, that this affords them a high specificity for abuse.
Rib fractures pose difficulties similar to those of metaphyseal injuries in that they are easily overlooked on radiographs.
These fractures usually are not evident on radiographs in the acute stage, as little displacement occurs.
Intracranial injury occurs as a result of severe angular acceleration, deceleration and direct impact as the head strikes a solid object.
The chest is compressed resulting in rib fractures.