Subperiosteal new bone formation (SPNBF) is a physiological phenomenon during normal osseous development which also has pathological causes, including healing fractures. Distinguishing between physiological and pathological SPNBF in cases of suspected physical abuse is critical. It has been reported from analogue radiographs that SPNBF above 2 mm in infants over 4 months of age should raise the suspicion of pathology. We sought to refine this using higher resolution modern digital imaging, given the implications for both clinical and medicolegal practice in cases of suspected physical abuse. Read More

Meeting name: SPR 2026 Annual Meeting , 2026

Authors: Paddock Michael, Gunton John, Horton Grace, Landes Caren, Halliday Katherine, Cohen Marta, Offiah Amaka

Keywords: Abuse, Abusive Injury, Injury