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Of all children reported to child protective services for suspected maltreatment in any form, the percentage of substantiated cases of physical abuse actually is quite small. There are a number of dermatological and radiologically demonstrable musculoskeletal lesions that have been, or could be mistaken for, intentional physical abuse by the inexperienced or under-educated observer. This atlas illustrates the classic manifestations of physical abuse by dermatological and radiological examination as a standard against which the mimickers of physical abuse can be compared. Where appropriate, the authors provide pertinent historical, physical and laboratory information in support of the diagnosis.