Abstract
Skeletal injuries are common and were part of the first radiological and clinical descriptions of child abuse. The ability to recognize them is key to diagnosis. They are varied, some are specific for abuse, and they are not life-threatening. In most cases the functional prognosis is good.
References
Chapman S. Non-accidental injury. In: Johnson KJ, Bache E, editors. Imaging in pediatric skeletal trauma. Berlin, Heidelberg: Springer-Verlag; 2008. p. 159–73.
Kleinman PK. Diagnostic imaging of child abuse. 3rd ed. Cambridge: Cambridge University Press; 2015. 729p.
Lonergan GJ, Baker AM, Morey MK, Boos SC. From the archives of the AFIP. Child abuse: radiologic-pathologic correlation. Radiographics. 2003;23:811–45.
Adamsbaum C, Méjean N, Merzoug V, Rey-Salmon C. How to explore and report children with suspected non-accidental trauma. Pediatr Radiol. 2010;40:932–8.
American College of Radiology. ACR appropriateness criteria. Clinical condition: suspected physical abuse—child. https://acsearch.acr.org/docs/69443.
The Royal College of Radiologists, Royal College of Paediatrics and child health. Standards for radiological investigations of suspected non-accidental injury. March 2008. http://www.rcr.ac.uk/docs/radiology/pdf/RCPCH_RCR_final.pdf.
Offiah A, van Rijn RR, Perez-Rossello JM, Kleinman PK. Skeletal imaging of child abuse (non-accidental injury). Pediatr Radiol. 2009;39:461–70.
Anilkumar A, Fender LJ, Broderick NJ, et al. The role of the follow-up chest radiograph in suspected non-accidental injury. Pediatr Radiol. 2006;36:216–8.
Perez-Rossello JM, Connolly SA, Newton AW, et al. Whole-body MRI in suspected infant abuse. AJR Am J Roentgenol. 2010;195:744–50.
Kleinman PK, Marks SC Jr, Richmond JM, Blackbourne BD. Inflicted skeletal injury: a postmortem radiologic-histopathologic study in 31 infants. AJR Am J Roentgenol. 1995;165:647–50.
Dedouit F, Guilbeau-Frugier C, Capuani C, et al. Child abuse: practical application of autopsy, radiological, and microscopic studies. J Forensic Sci. 2008;53:1424–9.
Kleinman PK. Problems in the diagnosis of metaphyseal fractures. Pediatr Radiol. 2008;38(S3):S388–94.
Loder RT, Feinberg JR. Orthopaedic injuries in children with nonaccidental trauma. Demographics and incidence from the Kids’Inpatient database. J Pediatr Orthop. 2007;27:421–6.
Carty H, Pierce A. Non-accidental injury: a retrospective analysis of a large cohort. Eur Radiol. 2002;12:2919–25.
Karmazyn B, Lewis ME, Jennings SG, et al. The prevalence of uncommon fractures on skeletal surveys performed to evaluate for suspected abuse in 930 children: should practice guidelines change? AJR Am J Roentgenol. 2011;197:159–63.
Abel SM. Non-accidental skeletal trauma. In: Ross AH, Abel SM, editors. The juvenile skeleton in forensic abuse investigations. New York: Springer; 2011. p. 61–77.
van Rijn RR, Van Kuijk C. Of small bones and big mistakes; bone densitometry in children revisited. Eur J Radiol. 2009;71:432–9.
Gervais-André L, Vija L, Franchi-Abella S, Gonzales E, Linglart A, Adamsbaum C. Quantitative computed tomography in paediatrics: when and how? Diagn Interv Imaging. 2016;97:499–502.
Kleinman PK, Belanger PL, Karellas A, Spevak MR. Normal metaphyseal radiologic variants not to be confused with findings of infant abuse. AJR Am J Roentgenol. 1991;156:781–3.
Ablin DS, Greenspan A, Reinhart M, Grix A. Differentiation of child abuse from Osteogenesis Imperfecta. AJR Am J Roentgenol. 1990;154:1035–46.
Mendelson KL. Critical review of « temporary brittle bone disease ». Pediatr Radiol. 2005;35:1036–40.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer International Publishing AG
About this chapter
Cite this chapter
Panuel, M., Chaumoitre, K., Petit, P., Jouve, JL. (2018). Skeletal Injuries. In: Rey-Salmon, C., Adamsbaum, C. (eds) Child Abuse. Springer, Cham. https://doi.org/10.1007/978-3-319-65882-7_6
Download citation
DOI: https://doi.org/10.1007/978-3-319-65882-7_6
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-65881-0
Online ISBN: 978-3-319-65882-7
eBook Packages: MedicineMedicine (R0)