Pubic ramus radiolucencies in infants: the good, the bad, and the indeterminate.
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.
Perez-Rossello
Jeannette M
JM
Department of Radiology, Children's Hospital Boston, 300 Longwood Ave., Boston, MA 02115, USA. jeannette.perez-rossello@childrens.harvard.edu
Connolly
Susan A
SA
Newton
Alice W
AW
Thomason
Michael
M
Jenny
Carole
C
Sugar
Naomi F
NF
Kleinman
Paul K
PK
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