ضایعات متافیزیکی کلاسیک به نظر می رسد که عامل تشخیص سوء استفاده از کودک هستند اغلب مصنوعات یا نشان دهنده بیماری متابولیک استخوان

We believe the original studies that equate the classical metaphyseal lesion with child abuse are flawed. The most compelling observation that challenges the histopathology of the classical metaphyseal lesion as being a fracture is the absence of hemorrhage in the acute classical metaphyseal lesion. We hypothesize that some of the classical metaphyseal lesions were artifacts or represent metabolic bone disorders that were not considered and that these two non-traumatic explanations may have been the basis of the abnormal bone findings.