title: Pubic ramus radiolucencies in infants: the good, the bad, and the indeterminate.
abstract: OBJECTIVE
  The purpose of this study was to examine imaging findings that differentiate inflicted injuries from developmental variants of the superior pubic ramus in healthy and abused infants.
  
  
  CONCLUSIONS
  A superior pubic ramus fracture and a developmental variant can be difficult to differentiate radiographically. A smoothly marginated vertical radiolucency of the superior pubic ramus detected without other features suggesting infant abuse should not be interpreted as a fracture.
authors.affiliation: Department of Radiology, Children's Hospital Boston, 300 Longwood Ave., Boston, MA 02115, USA. jeannette.perez-rossello@childrens.harvard.edu
authors.forename: Jeannette M
authors.initials: JM
authors.lastname: Perez-Rossello
authors.forename: Susan A
authors.initials: SA
authors.lastname: Connolly
authors.forename: Alice W
authors.initials: AW
authors.lastname: Newton
authors.forename: Michael
authors.initials: M
authors.lastname: Thomason
authors.forename: Carole
authors.initials: C
authors.lastname: Jenny
authors.forename: Naomi F
authors.initials: NF
authors.lastname: Sugar
authors.forename: Paul K
authors.initials: PK
authors.lastname: Kleinman
mesh_terms: D002649:Child Abuse / Q000517:prevention & control*; D003937:Diagnosis, Differential; D005260:Female; D050723:Fractures, Bone / Q000000981:diagnostic imaging*; D006801:Humans; D007223:Infant; D008297:Male; D011630:Pubic Bone / Q000002:abnormalities / Q000000981:diagnostic imaging / Q000293:injuries; D011859:Radiography; D015203:Reproducibility of Results; D012680:Sensitivity and Specificity