TY - JOUR T1 - Rib periosteal reaction: did you think about chest physical therapy? JF - Archives of Disease in Childhood JO - Arch Dis Child SP - 1078 LP - 1079 DO - 10.1136/adc.2004.052290 VL - 89 IS - 11 AU - G Gorincour AU - J-C Dubus AU - P Petit AU - B Bourliere-Najean AU - P Devred Y1 - 2004/11/01 UR - http://adc.bmj.com/content/89/11/1078.3.abstract N2 - 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 … ER -