The Spectrum of Non-accidental Injuries (Child Abuse) and Its Imitators
Skeletal injuries are the most common findings noted on imaging studies in cases of child abuse. In infants (<1 year), they result from manual assault that may include shaking. In contrast to central nervous system and other visceral injuries, they are rarely life-threatening. However, documentation of skeletal trauma is often central to the diagnosis of abuse. In infants, certain lesions are sufficiently characteristic to point strongly to the diagnosis of inflicted trauma (Table 1). Other fractures are less specific for abuse, but when correlated with other imaging findings and clinical information their presence may add strong support for the diagnosis.
KeywordsChild Abuse Osteogenesis Imperfecta Skeletal Survey Birth Injury Classic Metaphyseal Lesion
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.
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- 1.Caffey J (1946) Multiple fractures in the long bones of infants suffering from chronic subdural hematoma. AJR Am J Roentgenol 56:163–173Google Scholar
- 3.Kleinman P (1998) Diagnostic imaging of child abuse, 2nd edn. Mosby-Year Book, St. Louis, MOGoogle Scholar
- 10.Ekengren K, Bergdahl S, Ekstrom G (1978) Birth injuries to the epiphyseal cartilage. Acta Radiol Diagn (Stockh) 19:197–204Google Scholar
- 13.Taybi H, Lachman R (1996) Radiology of syndromes, metabolic disorders arid skeletal dysplasias, 4th edn. Mosby-Year Book, St. Louis, MOGoogle Scholar
- 19.Spivack B (2000) Contributing editor’s note. Child Abuse Quarterly Medical Update 8:20Google Scholar
- 31.Schmit P (2007) Inflicted injuries in children: variability of imaging practice among pediatric radiologists. Pediatr Radiol 37:S49Google Scholar
- 32.Slovis TL, Smith W, Kushner DC et al (2000) Imaging the child with suspected physical abuse. American College of Radiology. ACR Appropriateness Criteria. Radiology (215 Suppl):805–809Google Scholar
- 33.Anonymous (2006) ACR Practice Guideline for Skeletal Surveys in Children (Res. 47, 17, 35) In: American College of Radiology: ACR Standards. American College of Radiology, Reston, VA, pp 145–149Google Scholar
- 34.The British Society of Paediatric Radiology (2008) Standard for skeletal surveys in suspected non-accidental injury (NAI) in children. Retrieved February 25, 2008 from http://www.bspr.org.uk/nai.htmGoogle Scholar
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