Posterior Rib Fractures

Posterior rib fractures have a high specificity for child abuse.  In this case, a 2 month old was brought to the emergency department lethargic and in respiratory distress.  On radiographic examination, multiple posterior and lateral rib fractures were noted.  The child additionally was fournd to have subdural hematomas, and despite all attempts at resuscitation, succumbed to her injuries.

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