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June 17, 1961


JAMA. 1961;176(11):942-943. doi:10.1001/jama.1961.03040240048015

A fairly large number of cases of unsuspected trauma, which were identified in a short period of time, are referred to in a communication in the current issue of The Journal (page 926). It is surprising that physical trauma to bone may be unrecognized as roentgen methods have been employed extensively in the study of the skeletal system of infants. Skeletal trauma usually brings to mind obvious fractures and dislocations. However, in certain instances, more subtle changes are present, which are certainly due to trauma. The latter circumstances are the ones in which it is difficult for the physician to accept the fact that trauma can explain some of the unusual changes.

The recognition of the roentgen manifestations of trauma is important and other bone disturbances, which have a more serious prognosis, can be eliminated from the differential diagnosis. Also, by proper identification of these lesions, unnecessary expense incurred by