British Journal of Radiology 1993-Dec
Case report: child abuse--necklace calcification--a sign of strangulation.
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Strangulation has been postulated as one cause of cerebral hypoxia in child abuse. This report describes the finding of necklace calcification in an infant with rib fractures and a metaphyseal fracture and an admission of a shaking injury. The calcification is likely to represent fat necrosis as the result of strangulation.