Following Elsie's death, the X-ray of her right leg from November 2015 was re-examined.
It was found that Elsie had suffered two fractures - one near the ankle and one just above the knee.
Dr Sarah Harrison, a consultant paediatric radiologist, believes the injuries are 'the result of trauma', Mr Lewis said.
Dr Nia John, a consultant paediatrician, said it would be 'unusual' to suffer two such fractures in the same fall, the court heard.
A post-mortem examination found Elsie had previous and recent bleeding on both sides of her brain.
She had haemorrhages in both eyes, rib fractures and a fracture to her skull from an 'impact to her head', Mr Lewis told the jury.
Forensic pathologist Dr Stephen Leadbetter found Elsie died from hypoxic-ischemic encephalopathy - caused by a lack of oxygen to her brain - following cardiac arrest in a child with acute subdural haemorrhage and a blunt head injury that included fracture of the right lambdoid suture.'

Two men being "married" to each other just isn't right. Then they let them adopt children. Then one of the poofs shows his hatred towards females by killing the child this fu.ked up country allowed him to adopt.