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DOI:10.2214/AJR.07.3251
AJR 2008; 190:1481-1486
© American Roentgen Ray Society

Clinical Observations

Pubic Ramus Radiolucencies in Infants: The Good, the Bad, and the Indeterminate

Jeannette M. Perez-Rossello1, Susan A. Connolly1,2, Alice W. Newton1,2, Michael Thomason3, Carole Jenny4, Naomi F. Sugar5 and Paul K. Kleinman1

1 Department of Radiology, Children's Hospital Boston, 300 Longwood Ave., Boston MA 02115.
2 Department of Radiology, Massachusetts General Hospital, Boston MA.
3 Department of Radiology Services, Greenville Memorial Medical Center, Greenville SC.
4 Child Protection Program, Hasbro Children's Hospital, Providence RI.
5 Department of Pediatrics, Harborview Medical Center, Seattle WA.

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.

CONCLUSION. 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.

Keywords: child abuse • fractures • infants • pelvis • pubic bone


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