title: Case report: child abuse--necklace calcification--a sign of strangulation.
abstract: Strangulation has been postulated as one cause of cerebral hypoxia in child abuse. This report describes the finding of necklace calcification in an infant with rib fractures and a metaphyseal fracture and an admission of a shaking injury. The calcification is likely to represent fat necrosis as the result of strangulation.
authors.affiliation: RLC NHS Trust, Alder Hey, Liverpool, UK.
authors.forename: H
authors.initials: H
authors.lastname: Carty
mesh_terms: D002114:Calcinosis / Q000000981:diagnostic imaging*; D002649:Child Abuse / Q000175:diagnosis*; D004678:Encephalomalacia / Q000209:etiology; D005260:Female; D006801:Humans; D002534:Hypoxia, Brain / Q000150:complications; D007223:Infant; D009333:Neck; D009336:Necrosis / Q000000981:diagnostic imaging; D011859:Radiography; D012253:Rib Fractures / Q000150:complications; D012784:Shoulder Fractures / Q000150:complications