Evaluating Young Children With Fractures for Child Abuse: Clinical Report
Suzanne B. Haney, Susan A. Scherl, Linda A. DiMeglio, Jeannette M. Pérez-Rosselló, Sabah Servaes, Nadia Merchant, Antoinette L. Laskey, Suzanne B. Haney, Andrea G. Asnes, Verena Wyvill Brown, Amanda Bird Hoffert Gilmartin, Rebecca G. Girardet, Nancy Dayzie Heavilin, Natalie Kissoon, Bethany Anne Mohr, Patricia Morgan, Shalon Marie Nienow, Norell Rosado, SECTION ON ORTHOPAEDICS, Joshua M. Abzug, Meng Yi-Yen, Martin J. Herman, Lindsay M. Andras, Aristides I. Cruz, Christine Ho, Alexa J. Karkenny, J. Todd R. Lawrence, Susan A. Scherl, SECTION ON RADIOLOGY, Hansel J. Otero, Patricia T. Acharya, Katherine Barton, Ellen C. Benya, Brandon P. Brown, Reza Daugherty, and SECTION ON ENDOCRINOLOGY, Kupper A. Wintergerst, Jane Lynch, Lucy D. Mastrandrea, Jeffrey Barker, Kathleen E. Bethin, Chineze Ebo, David H. Jelley, Bess A. Marshall, and the SOCIETY FOR PEDIATRIC RADIOLOGY
Abstract
Fractures are common injuries in childhood and can be caused by unintentional injury, medical conditions, and child abuse. Although the consequences of failing to diagnose an abusive injury in a child can be grave, the consequences of incorrectly diagnosing child abuse in a child whose fractures have another etiology are also significant. This report aims to review recent advances in the understanding of fracture specificity, fracture mechanisms, and other medical conditions that predispose infants and children to fracture. This clinical report will aid pediatricians and pediatric care providers in developing an evidence-based differential diagnosis and performing appropriate evaluations when assessing a child with fractures.