 The newborn girl had bruising on various parts of her body, but not on her chest. Her Armenian grandmother also bruised easily, while her mother was diagnosed with hypermobility type Ehlers-Danlos Syndrome, HEDS, and inherited connective tissue disorder. When the girl's bruises were investigated further, it was discovered that she had three previously undetected rib fractures. These fractures were likely caused by birth trauma due to the extra pressure put on her chest during delivery, combined with her fragile bones. Since the girl's bruises were not found on her chest, they were most likely caused by the birth trauma rather than abuse. Additionally, since the likelihood ratio of abuse being the cause of the bruises was extremely low, the girl was placed into foster care. This article was authored by Martin J. C. Van Gamert, Alko H. Swinderman, Peter J. Van Koppen, and others.