
Rough Diaper Changes and Classic Metaphyseal Lesions
By Ryan T. McGuire In August 2024, an Indiana father, Tristan Dean Gerhardt, was charged after his six-month-old was found with fractures in all four limbs [1]. A skeletal survey revealed multiple fractures in both arms and legs. Oral injuries suggested something had been forced into the infant’s mouth. Treating physicians told investigators that most of the fractures appeared to







