Case report: child abuse--necklace calcification--a sign of strangulation.
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.
Carty
H
H
RLC NHS Trust, Alder Hey, Liverpool, UK.
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