Sara Sharif had suffered an “extremely rare” fracture in her neck, which a radiologist said he had “never seen” in a child before. Examinations showed she had an injury to her hyoid bone in her throat,

“In an upstairs bedroom, on a bottom bunk bed, the police found the body of a little girl, lying in bed, under the cover, as if asleep. But she was not asleep. She was dead. Her name was Sara Sharif, and she had been just ten years old when she was killed,” Mr Emlyn-Jones KC said.

Sara’s body also had a number of scars from previous injuries, he added. The court previously heard that Sara was hooded, burned and beaten during more than two years of abuse. She had suffered 11 fractures to her spine, burns to her buttocks, caused by a domestic iron, and signs of a traumatic brain injury, the court was told.

Sara’s father Urfan Sharif, stepmother Beinash Batool and uncle Faisal Malik are on trial at the Old Bailey accused of the 10-year-old’s murder.

A bone marrow disease found in Sara Sharif’s hands could have been caused by “starvation”, a court heard. Injuries to Sara’s wrist and neck bones were shown in court on the fourth day of the 10-year-old girl’s murder trial.

Ten-year-old Sara Sharif suffered injuries which were comparable to a person involved in a car crash, a court has heard. The girl's body, which was found in her family's home in Surrey last year, had signs of healing spinal fractures which had then been rebroken,