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By B G Brogdon; Tor Shwayder; Jamie Elifritz

''Of all childrens mentioned to baby protecting companies for suspected maltreatment in any shape, the proportion of substantiated circumstances of actual abuse truly is kind of small. there are many dermatological and radiologically demonstrable musculoskeletal lesions which have been, or should be flawed for, intentional actual abuse via the green or under-educated observer. This atlas illustrates the Read more...

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Extra resources for Child abuse and its mimics in skin and bone

Example text

B) Transverse angulated fracture of the tibia with associated bowing fracture of the fibula. , Forensic Medicine of the Lower Extremity, Humana Press, Totowa, NJ, 2005, p. 178, Figure 49. ) The first of these major differences is related to the larger and more extensive pattern of Haversian canals in children’s bones, allowing greater elasticity and malleability. 3). These are not seen in the mature or adult bone. 4)—may also be encountered in the child, but here the context of the cause or mechanism of injury is of paramount importance.

47). In children the separation of the usual spinous processes of C1 and C2 can be somewhat variable on the routine cross-table lateral projection. If in doubt go immediately to CT. At other levels the separation should not be appreciably different from that of the spine above and below. Symptoms of spinal cord injury may be delayed and, when apparent, may call for intensive further investigation with sectional imaging studies (CT and MRI). Fortunately for diagnostic purposes, any case of multiple skeletal injuries is an indication for careful, intensive, and sophisticated radiological examination of the spine.

Falls are a more prevalent cause of spinal injury between ages 2 and 9 years. 32 Absent any history of plausible trauma, bone disease, or no history at all, a pediatric spinal fracture is highly suggestive for inflicted trauma and usually will be found in association with other lesions indicating abuse. 35–39 Swischuk,40 more than two decades after Caffey’s initial paper, was first to study spinal injuries from child abuse. 40). 41). If the end plates are symmetrically Musculoskeletal Trauma in Infants and Children: Accidental or Inflicted?

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