Clinical Pediatric Emergency Medicine
Volume 7, Issue 3 , Pages 143-148 , September 2006

Fractures Resulting From Inflicted Trauma: Assessing Injury and History Compatibility

  • Mary Clyde Pierce, MD

      Affiliations

    • Department of Pediatrics, University of Louisville, Louisville, KY
    • Corresponding Author InformationReprint requests and correspondence: Mary Clyde Pierce, MD, Associate Professor, Department of Pediatrics, University of Louisville, 571 S Floyd St., Suite 300, Louisville, KY 40202.
    • ,
  • Gina Bertocci, PhD

      Affiliations

    • Department of Pediatrics, University of Louisville, Louisville, KY
    • Department of Mechanical Engineering, University of Louisville, Louisville, KY
    • Department of Bioengineering, University of Louisville, Louisville, KY

References 

  1. Akbarnia B, Torg JS, Kirkpatrick J, et al. Manifestations of the battered-child syndrome. J Bone Joint Surg Am. 1974;56:1159–1166
  2. Leventhal JM, Thomas SA, Rosenfield NS, et al. Fractures in young children. Distinguishing child abuse from unintentional injuries. Am J Dis Child. 1993;147:87–92
  3. Thomas SA, Rosenfeld NS, Leventhal JM, et al. Long-bone fractures in young children: distinguishing accidental injuries from child abuse. Pediatrics. 1991;88:471–476
  4. Strait RT, Siegel RM, Shapiro RA. Humeral fractures without obvious etiologies in children less than 3 years of age: when is it abuse?. Pediatrics. 1995;96:667–671
  5. Belfer RA, Klein BL, Orr L. Use of the skeletal survey in the evaluation of child maltreatment. Am J Emerg Med. 2001;19:122–124
  6. American Academy of Pediatrics . Diagnostic imaging of child abuse. Pediatrics. 2000;105:1345–1348
  7. Kempe CH, Silverman FN, Steele BF, et al. The battered-child syndrome. JAMA. 1984;251:3288–3294
  8. King J, Dierfendorf D, Apthorp J, et al. Analysis of 429 fractures in 189 battered children. J Pediatr Orthop. 1988;8:585–589
  9. U.S. Advisory Board on Child Abuse and Neglect . A Nation's Shame: fatal child abuse and neglect in the United States. Washington, DC: US Dept of Health and Human Services, Admin for Children and Families; 1995;
  10. Pierce MC, Bertocci GE, Janosky JE, et al. Femur fractures resulting from stair falls among children: an injury plausibility model. Pediatrics. 2005;115:1712–1722
  11. Levine RS. Injury to the extremities. In:  Nahum A,  Melvin JW editor. Accidental injury. New York: Springer Verlag; 2002;p. 491–522
  12. Pierce MC, Bertocci GE, Vogeley E, et al. Evaluating long bone fractures in children: a biomechanical approach with illustrative cases. Child Abuse Negl. 2004;28:505–524
  13. Sills RM, Pena ME, Parsons K. Bones, breaks, and the battered child: is it unintentional or is it abuse?. Pediatr Emerg Med Rep. 1998;3:1–10
  14. Coley B, Kramer D. Avoiding common pediatric radiological errors. Pediatr Emerg Med Rep. 2005;10:77–88
  15. Pathria MN. Radiologic analysis of trauma. In:  Nahum A,  Melvin JW editor. Accidental injury. New York: Springer Verlag; 2002;p. 103–120
  16. Rogers LF. 2nd ed. Radiology of skeletal trauma. New York: Churchill Livingstone Inc; 1992;
  17. Cooperman DR, Merten DF. Skeletal manifestations of child abuse. In:  Reece RM,  Ludwig S editor. Child abuse: medical diagnosis and management. Philadelphia (Pa): Lippincott Williams & Wilkins; 2001;p. 123–156
  18. Kleinman PK, Blackbourne BD, Marks SC, et al. Radiologic contributions to the investigation and prosecution of cases of fatal infant abuse. N Engl J Med. 1989;320:507–511
  19. Osier LK, Marks SC, Kleinman PK. Metaphyseal extensions of hypertrophied chondrocytes in abused infants indicate healing fractures. J Pediatr Orthop. 1993;13:249–254
  20. Zimmerman S, Makoroff K, Care M, et al. Utility of follow-up skeletal surveys in suspected child physical abuse evaluations. Child Abuse Negl. 2005;29:1075–1083
  21. Rewers A, Hedegaard H, Lezotte D, et al. Childhood femur fractures, associated injuries, and sociodemographic risk factors: a population-based study. Pediatrics. 2005;115:e543–e552
  22. Holmes JF, Sokolove PE, Brant WE, et al. A clinical decision rule for identifying children with thoracic injuries after blunt torso trauma. Ann Emerg Med. 2002;39:492–499
  23. Nimkin K, Spevak MR, Kleinman PK. Fractures of the hands and feet in child abuse: imaging and pathologic features. Radiology. 1997;203:233–236
  24. Bulloch B, Schubert CJ, Brophy PD, et al. Cause and clinical characteristics of rib fractures in infants. Pediatrics. 2000;105:e48
  25. Worlock P, Stower M, Barbor P. Patterns of fractures in accidental and nonaccidental injury in children: a comparative study. Br Med J (Clin Res Ed). 1986;293:100–102
  26. Bush CM, Jones JS, Cohle SD, et al. Pediatric injuries from cardiopulmonary resuscitation. Ann Emerg Med. 1996;28:40–44
  27. Spevak MR, Kleinman PK, Belanger PL, et al. Cardiopulmonary resuscitation and rib fractures in infants: a postmortem radiologic-pathologic study. JAMA. 1994;272:617–618
  28. Kleinman PK. Bony thoracic trauma. In:  Kleinman PK editors. Diagnostic imaging of child abuse. 2nd ed. St. Louis (Mo): Mosby; 1998;p. 110–148
  29. Joffe M, Ludwig S. Stairway injuries in children. Pediatrics. 1988;82:457–461
  30. Bertocci GE, Pierce MC, Deemer E, et al. Computer simulation of stair falls to investigate scenarios in child abuse. Arch Pediatr Adolesc Med. 2001;155:1008–1014
  31. Prosser I, Maguire S, Harrison SK, et al. How old is this fracture? Radiologic dating of fractures in children: a systematic review. AJR Am J Roentgenol. 2005;184:1282–1286
  32. Islam O, Soboleski D, Symons S, et al. Development and duration of radiographic signs of bone healing in children. AJR Am J Roentgenol. 2000;175:75–78
  33. O'Connor JF, Cohen J. Dating fractures. In:  Kleinman PK editors. Diagnostic imaging of child abuse. 2nd ed. St. Louis (Mo): Mosby; 1998;p. 168–177
  34. Daly KE, Calvert PT. Accidental femoral fractures in infants. Injury. 1991;22:337–338
  35. Rubin DM, Christian CW, Bilaniuk LT, et al. Occult head injury in high-risk abused children. Pediatrics. 2003;111(Pt 1):1382–1386
  36. Lachman RS, Krakow D, Kleinman PK. Differential diagnosis II: osteogenesis imperfecta. In:  Kleinman PK editors. Diagnostic imaging of child abuse. 2nd ed. St. Louis (Mo): Mosby; 1998;p. 197–213
  37. Gahagan S, Rimsza ME. Child abuse or osteogenesis imperfecta: how can we tell?. Pediatrics. 1991;88:987–992
  38. Valvano T, Binns H, Flaherty E, et al. The reliability of bruising in predicting which fractures are caused by child abuse. PAS. 2006;59:3140.5;[abst]

PII: S1522-8401(06)00048-6

doi: 10.1016/j.cpem.2006.06.005

Clinical Pediatric Emergency Medicine
Volume 7, Issue 3 , Pages 143-148 , September 2006

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