Accidental tramline bruising and rib fractures
© Springer-Verlag London Ltd 2010
Received: 8 September 2009
Accepted: 23 November 2009
Published: 27 February 2010
In this case it is hypothesised that the linearity was caused by compression of the skin against the tarmac by the ribs from within, rather than by compression by a rod from without. It is likely that such a mechanism requires a body mass substantially greater than the average child’s, so although this case demonstrates that linear bruising in an adult is not pathognomonic of a blow with a rod-like implement, in children it will raise suspicion of maltreatment.
- National Collaborating Centre for Women’s and Children’s Health (2009) When to suspect child maltreatment. RCOG Press, LondonGoogle Scholar