Non Accidental Injury (Subscribe)  

Background Child abuse and neglect (CAN) is a serious problem that has major implications for the welfare of the child involved. Unexplained fractures are of particular concern to the orthopaedic surgeon, who must often consider alternative diagnoses to CAN.
Questions/purposes We therefore (1) determined which bone diseases most commonly mimic CAN; (2) what...

* multiple assymetrical fractures
* separation of distal epiphyses
* irregularity and fragmentation of metaphyses
* "bucket-handle" fracture
* corner fracture of elbow, knee, ankle (sudden twisting motion)
* isolated spiral...

Physical abuse, a subset of child abuse, is defined in various ways by different states. However, common to all definitions is the presence of an injury that the child sustains at the hands of his or her caregiver. These injuries are also referred to as inflicted or nonaccidental injuries. Some...

Child sexual abuse (CSA) refers to the use of children in sexual activities when, because of their immaturity and developmental level, they cannot understand or give informed consent. A wide range of activities is included in sexual abuse, including contact and noncontact activities. Contact activities included are sexualized kissing, fondling,...

In the United States, child abuse is responsible for approximately 1400 deaths per year. A variety of injuries may occur as a result of child abuse. Some of the injuries observed in battered children are specific to this population, and certain patterns of injury are highly suggestive of nonaccidental trauma.
Most...

Objectives
1. Discuss the factors contributing to susceptibility to child abuse
2. Describe fracture patterns considered suggestive of abuse as an etiology
3. Discuss the differential diagnosis of child abuse
4. Describe the physical and imaging assessment of a child with suspected...

Four categories of child abuse are generally recognised. It is possible that a child may suffer from more than one type of abuse at any one time.
* Physical abuse
* Emotional abuse
* Neglect
* Sexual abuse
Munchausen...

Robert Shapiro Cincinnati Children's Hospital Medical Center

Diagnosing physical child abuse: the way forward M A Barber, J R Sibert Department of Child Health, University of Wales College of Medicine, Academic Centre, Llandough Hospital, Penarth, Vale of Glamorgan CF64 2XX, UK Accepted 22 March 2000 In this article, we will review the evidence we have on the diagnosis of...

Results A history suspicious for abuse, physical or radiographic evidence of prior injury, and age younger than 18 months were risk factors for abuse. Patients with no risk factors had a 4% chance, patients with one risk factor had a 29% chance, patients with two risk factors had an 87% chance,...

Topics in pediatric trauma and orthopaedics displayed in the left hand panel. Initial topic Child Abuse.

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: ...

Physical Abuse of Children / Non-Accidental Injuries Statistics show that more than half the victims of child abuse have fractures. The orthopedic surgeon will often be the first person to identify a potentially abused child.
The safest pathway for the child and clinician is to make a child abuse report in...

Child and infant abuse is a serious problem that all clinicians must be aware of in their everyday practices. The decision to call Child Protective Services (CPS), the police, or in-hospital investigative teams is difficult for many clinicians who struggle with trying to identify a potentially serious situation and the...

C.R. is a 2-year-old Asian boy who presents with his mother, who reports that he has not moved his arm since he awoke 2 hours ago. She noticed his pain when attempting to get him dressed, because he did not want to move his arm. She did not notice any...