Orthopaedic Manifestations Of Child Abuse

Description: Wheeless Testbook of Orthopaedics - Discussion: - child abuse occurs most often under the age of 3 years; - when child abuse goes unrecognized, the mortality rate may be as high as 5 %; - differential dx: - osteogenesis imperfecta - note that w/ some OI phenotypes, radiographic osteopenia may be slight and may be missed on x-ray; - in these cases, consider dual energy x-ray absorptiometry; - references: - The role of dual energy x-ray absorptiometry in aiding the diagnosis of pediatric osteogenesis imperfecta. MS Moore. et al. American Journal of Orthopaedics. Dec 1998. p 797. - Common Fractures: - rib fractures: the most commonly found fractures in child abuse (followed by humerus, femur, and tibia); - femur fracture: the majority of femur frxs in infants are due to abuse;