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A Practical Guide to the Evaluation of Child Physical Abuse and NeglectFractures and Skeletal Injuries

A Practical Guide to the Evaluation of Child Physical Abuse and Neglect: Fractures and Skeletal... [The identification of a skeletal injury may be the first indication of abuse. Estimates of the frequency of fractures in abused children vary from approximately 10–50%, depending on the population studied, the type of diagnostic imaging used to detect fractures, and the age of the patients seen (Ebbin et al., Am J Dis Child 118(4):660–667, 1969; Herndon, J Pediatr Orthop 3(1):73–76, 1983; Leventhal et al., Am J Dis Child 147(1):87–92, 1993). Recently, large population-based studies have been used to estimate the incidence of inflicted skeletal trauma. While the majority of fractures are still attributed to falls, child abuse accounts for 12% of fractures in children less than 36 months of age (Leventhal et al., Pediatrics 122(3):599–604, 2008). Infants and young children sustain significantly more abusive skeletal injuries than do older children, with the majority of inflicted fractures occurring in children under 12 months of age (Leventhal et al., Pediatrics 122(3):599–604, 2008; Leventhal et al., Pediatrics 126(1):e104–e115, 2010; Loder and Feinberg, J Pediatr Orthop 27(4):421–426, 2007; Sibert et al., Child Abuse Negl 26(3):267–276, 2002). Fractures of the ribs, arm, and leg account for over half of the inflicted skeletal injuries in young children (Leventhal et al., Pediatrics 122(3):599–604, 2008; Starling et al., Child Abuse Negl 31(9):993–999, 2007). These injuries are often occult and detected only with detailed skeletal imaging.] http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png

A Practical Guide to the Evaluation of Child Physical Abuse and NeglectFractures and Skeletal Injuries

Editors: Giardino, Angelo P.; Lyn, Michelle A.; Giardino, Eileen R.
Bachim, Angela; Harper, Nancy S.
A Practical Guide to the Evaluation of Child Physical Abuse and Neglect — Dec 12, 2018
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Publisher
Springer International Publishing
Copyright
© Springer Nature Switzerland AG 2019
ISBN
978-3-030-00634-1
Pages
133 –194
DOI
10.1007/978-3-030-00635-8_4
Publisher site
See Chapter on Publisher Site

Abstract

[The identification of a skeletal injury may be the first indication of abuse. Estimates of the frequency of fractures in abused children vary from approximately 10–50%, depending on the population studied, the type of diagnostic imaging used to detect fractures, and the age of the patients seen (Ebbin et al., Am J Dis Child 118(4):660–667, 1969; Herndon, J Pediatr Orthop 3(1):73–76, 1983; Leventhal et al., Am J Dis Child 147(1):87–92, 1993). Recently, large population-based studies have been used to estimate the incidence of inflicted skeletal trauma. While the majority of fractures are still attributed to falls, child abuse accounts for 12% of fractures in children less than 36 months of age (Leventhal et al., Pediatrics 122(3):599–604, 2008). Infants and young children sustain significantly more abusive skeletal injuries than do older children, with the majority of inflicted fractures occurring in children under 12 months of age (Leventhal et al., Pediatrics 122(3):599–604, 2008; Leventhal et al., Pediatrics 126(1):e104–e115, 2010; Loder and Feinberg, J Pediatr Orthop 27(4):421–426, 2007; Sibert et al., Child Abuse Negl 26(3):267–276, 2002). Fractures of the ribs, arm, and leg account for over half of the inflicted skeletal injuries in young children (Leventhal et al., Pediatrics 122(3):599–604, 2008; Starling et al., Child Abuse Negl 31(9):993–999, 2007). These injuries are often occult and detected only with detailed skeletal imaging.]

Published: Dec 12, 2018

Keywords: Fractures; Skeletal injuries; Bone anatomy; Skull fracture

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