Molly Crosswell, Kelley Marshall Johnson, Amanda Small, Kenneth W Martin, Mary-Fran R Crosswell
{"title":"Case report: Bilateral infantile acromion fractures in the setting of congenital glenoid dysplasia.","authors":"Molly Crosswell, Kelley Marshall Johnson, Amanda Small, Kenneth W Martin, Mary-Fran R Crosswell","doi":"10.1007/s00247-026-06802-z","DOIUrl":null,"url":null,"abstract":"<p><p>We report a rare case of a 5-week-old male who presented with isolated acromion fractures occurring bilaterally 10 days apart. As scapular fractures are a high-specificity fracture for abusive injury, these findings were concerning for child abuse. The patient was later diagnosed with congenital glenoid dysplasia. Given this diagnosis with an otherwise normal medical evaluation for physical abuse, this case was deemed indeterminate for abusive injury. The multidisciplinary team consensus was that the injuries were likely fractures resulting from restriction of normal range of glenohumeral motion caused by his glenoid deformity. Literature on congenital glenoid dysplasia is limited in the pediatric population. This case highlights the need for further investigation into early presentations of congenital glenoid dysplasia and its association with acromion fractures.</p>","PeriodicalId":19755,"journal":{"name":"Pediatric Radiology","volume":" ","pages":""},"PeriodicalIF":2.5000,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Pediatric Radiology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s00247-026-06802-z","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PEDIATRICS","Score":null,"Total":0}
引用次数: 0
Abstract
We report a rare case of a 5-week-old male who presented with isolated acromion fractures occurring bilaterally 10 days apart. As scapular fractures are a high-specificity fracture for abusive injury, these findings were concerning for child abuse. The patient was later diagnosed with congenital glenoid dysplasia. Given this diagnosis with an otherwise normal medical evaluation for physical abuse, this case was deemed indeterminate for abusive injury. The multidisciplinary team consensus was that the injuries were likely fractures resulting from restriction of normal range of glenohumeral motion caused by his glenoid deformity. Literature on congenital glenoid dysplasia is limited in the pediatric population. This case highlights the need for further investigation into early presentations of congenital glenoid dysplasia and its association with acromion fractures.
期刊介绍:
Official Journal of the European Society of Pediatric Radiology, the Society for Pediatric Radiology and the Asian and Oceanic Society for Pediatric Radiology
Pediatric Radiology informs its readers of new findings and progress in all areas of pediatric imaging and in related fields. This is achieved by a blend of original papers, complemented by reviews that set out the present state of knowledge in a particular area of the specialty or summarize specific topics in which discussion has led to clear conclusions. Advances in technology, methodology, apparatus and auxiliary equipment are presented, and modifications of standard techniques are described.
Manuscripts submitted for publication must contain a statement to the effect that all human studies have been reviewed by the appropriate ethics committee and have therefore been performed in accordance with the ethical standards laid down in an appropriate version of the 1964 Declaration of Helsinki. It should also be stated clearly in the text that all persons gave their informed consent prior to their inclusion in the study. Details that might disclose the identity of the subjects under study should be omitted.