Title

Variations in acromial ossification simulating infant abuse in victims of sudden infant death syndrome

UMMS Affiliation

Department of Radiology

Publication Date

7-1-1991

Document Type

Article

Subjects

Acromion; Child Abuse; Diagnostic Errors; Humans; Infant; *Osteogenesis; *Sudden Infant Death

Disciplines

Life Sciences | Medicine and Health Sciences

Abstract

A variation in ossification of the acromial process of the scapula is described. Postmortem radiographs, obtained in 78 infants who died of sudden infant death syndrome, showed an ossific opacity adjacent to the acromial process in 10 infants (13%). This finding was noted bilaterally in six patients and unilaterally in four patients. No two ossicles were identical. Histologically, no growth plate cartilage was evident between the bony structure and the acromion proper; therefore, this appeared to represent a "pseudoepiphysis." Superficially, this normal variation may appear similar to an acromial fracture resulting from infant abuse. However, a careful analysis of the findings of this normal variation should help prevent any confusion with inflicted injury.

Rights and Permissions

Citation: Radiology. 1991 Jul;180(1):185-7.

Related Resources

Link to Article in PubMed

Journal/Book/Conference Title

Radiology

PubMed ID

2052690