Non-accidental fractures in child maltreatment syndrome

Subhankar Bandyopadhyay, Kenneth Yen

Research output: Contribution to journalArticle

Abstract

Non-accidental fractures are the second most common injuries in maltreated children presenting to the emergency department. It is estimated that 30% of maltreated children evaluated have either acute or healing fractures. The hallmarks of these injuries are multiple fractures at different stages of healing. However, certain isolated fracture patterns are also observed. The determination of the non-accidental nature of injury remains a challenge, and a delay in diagnosis may place the child at increased risk of sustaining further injuries or death. In this article we will review the historical and physical characteristics, common fractures, and radiographic findings of non-accidental fractures in maltreated children. Careful evaluation of historical data, identification of children at high risk for maltreatment, accurate interpretation of radiographs, and a timely referral to social services may result in reduced morbidity and mortality.

Original languageEnglish (US)
Pages (from-to)145-152
Number of pages8
JournalClinical Pediatric Emergency Medicine
Volume3
Issue number2
DOIs
StatePublished - Jun 2002

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Emergency Medicine

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