Article Text
Letter
Rib periosteal reaction: did you think about chest physical therapy?
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Rib fractures are uncommon in infants. Child abuse must be suspected, especially when location is posterior, as explained by the lever phenomenon.1 The positive predictive value of rib fractures as an indicator of abuse is 95–100%.2 Bone fragility diseases, severe cough, and cardiopulmonary resuscitation can cause rib fractures, and chest physical therapy (CPT) has only been …