Spiral Fracture in Young Infant Causing a Diagnostic Dilemma: Nutritional Rickets versus Child Abuse

Figure 1

(a) Radiograph of the right upper extremity with obliquely orientated lucency through the distal humeral metadiaphysis with associated soft tissue swelling that is consistent with a nondisplaced spiral fracture. (b) Follow-up radiograph of right upper extremity with ongoing interval healing of the right spiral fracture of the middistal diaphysis of the right humerus with surrounding periosteal new bone/callus formation. (c, d) Radiographs of the right wrist at initial presentation and two-week follow-up with no signs of cupping or fraying.

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