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Medicolegal Issues of Battered Baby Syndrome

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Abstract

Battered baby (child) syndrome has been recognized for nearly half a century and is defined as repeated non-accidental trauma of various ages. In medicolegal death investigations, it is often avoided, due to its alleged controversy, or more accurately, due to the challenges it presents in court. In this chapter, we discuss some of the medicolegal issues of a battered baby syndrome diagnosis for the cause of death and the legal issues surrounding the prosecution and defense in these types of cases. A case example involving a 5-month-old infant is presented. Additionally, the importance and challenges in timing fractures and using skeletal trauma as evidence of abuse are discussed. Finally, this case is contextualized among infant and child homicides and recommendations for best practices are outlined.

Children begin by loving their parents. After a time they judge them. Rarely, if ever, do they forgive them. Oscar Wilde

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References

  1. Plunkett J. Fatal pediatric head injuries caused by short-distance falls. Am J Forensic Med Pathol 2001;22:1–12.

    Article  PubMed  CAS  Google Scholar 

  2. Feldman KW, Brewer DK. Child abuse, cardio-pulmonary resuscitation, and rib fractures. Pediatrics 1984;73:339–342.

    PubMed  CAS  Google Scholar 

  3. Bush CM, Jones JS, Cohle SD, Johnson H. Pediatric injuries from cardiopulmonary resuscitation. Ann Emerg Med 1996;28:40–44.

    Article  PubMed  CAS  Google Scholar 

  4. Dolinak D. Rib fractures in infants due to cardiopulmonary resuscitation efforts. Am J Forensic Med Pathol 2007;28:107–110.

    Article  PubMed  Google Scholar 

  5. Helfer RE, Kempe CH, editors. The Battered Child. Chicago, IL: University of Chicago Press, 1968.

    Google Scholar 

  6. Curphey TJ, Kade H, Noguchi TT, Moore SM. The battered child syndrome: responsibilities of the pathologist. Calif Med 1965;102(2):102–104.

    PubMed  CAS  Google Scholar 

  7. Kempe HC. Paediatric implications of the battered baby syndrome. Arch Dis Child 1971;46:28–37.

    Article  PubMed  CAS  Google Scholar 

  8. Smithey M. Infant homicide: victim/offender relationship and causes of death. J Fam Violence 1998;13:285–297

    Article  Google Scholar 

  9. Adelson L. The nutritional variant of the “Battered Child.” J Am Med Assoc 1963;186: 458–460.

    CAS  Google Scholar 

  10. Buikstra JE, Ubelaker DH, editors. Standards for data collection from human skeletal remains. Proceedings of a seminar at the Field Museum of Natural History. Arkansas Archaeological Survey Research Series No. 44, 1994.

    Google Scholar 

  11. Kimmerle EH, Baraybar JP. Skeletal Trauma: Identification of Injuries Resulting from Human Rights Abuse and Armed Conflict. Boca Raton, FL: CRC Press, 2008.

    Book  Google Scholar 

  12. Ortner DJ, Putschar WGJ. Identification of Pathological Conditions in Human Skeletal Remains. Smithsonian Contributions to Anthropology. Washington, DC: Smithsonian Institution Press, 1981;28.

    Google Scholar 

  13. Brogdon BG. Forensic Radiology. Boca Raton, FL: CRC Press, 1998.

    Book  Google Scholar 

  14. Meyers J, Okoye M, Kipple D, Kimmerle EH, Reinhard K. Three dimensional (3-D) imaging in post-mortem examinations: elucidation and identification of cranial and facial fractures in victims of homicide utilizing 3-D computerized imaging reconstruction techniques. Int J Legal Med 1999;113:33–37.

    Article  Google Scholar 

  15. Brogdon BG, Vogel H, McDowell JD. A Radiological Atlas of Abuse, Torture, Terrorism, and Inflicted Trauma. Boca Raton, FL: CRC Press, 2003;328.

    Book  Google Scholar 

  16. Thali MJ, Kneubuehl BP, Vock P, Allmen G, Dirnhofer R. Highspeed documented experimental gunshot to a skull-brain model and radiologic virtual autopsy. Am J Forensic Med Path 2002;23:223–228.

    Article  Google Scholar 

  17. Sauer NJ. The timing of injuries and manner of death: distinguishing among antemortem, perimortem and postmortem trauma. In: Reichs KJ, editor. Forensic Osteology, 2nd ed. Springfield, IL: Charles C. Thomas Publisher, 1998;321–332.

    Google Scholar 

  18. O’Conner JF, Cohen J. Dating Fractures. In: Kleinman PK, editor. Diagnostic Imaging of Child Abuse. Baltimore, MD: Williams and Wilkins, 1987;103–113.

    Google Scholar 

  19. Islam O, Soboleski D, Symons S, Davidson LK, Ashworth MA, Babyn P. Development and duration of radiographic signs of bone healing in children. Am J Roentgenol 2000;175:75–78.

    CAS  Google Scholar 

  20. Zumwalt RE, Fanizza-Orphanos AM. 1990. Dating of Healing Rib Fractures in Fatal Child Abuse. In: Fenoglio-Preiser CM, editor. Advances in Pathology. St. Louis, MO: Mosby, 1990;193–205.

    Google Scholar 

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Acknowledgments

We would like to thank our colleagues at the Hillsborough County Sheriff’s Office, the Tampa Police Department, and the Temple Terrace Police Department who have been working with us on researching homicide patterns for the Tampa Bay area. In particular we thank Major Harold Winsett, Captain Alan Hill, Sgt. Frank Losat, Det. Herb Saumell, Det. Chuck Massucci, and Det. Eric Houston for their assistance in collecting data and preparing this manuscript. We also thank Chris Moody and Gregory Hill, the prosecution and defense attorneys, respectively.

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Correspondence to Erin H. Kimmerle .

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Kimmerle, E.H., Chrostowski, L. (2011). Medicolegal Issues of Battered Baby Syndrome. In: Ross, A., Abel, S. (eds) The Juvenile Skeleton in Forensic Abuse Investigations. Humana Press. https://doi.org/10.1007/978-1-61779-255-7_8

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  • DOI: https://doi.org/10.1007/978-1-61779-255-7_8

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  • Print ISBN: 978-1-61779-254-0

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