A Practical Guide to Differentiating Abusive From Accidental Fractures: An Injury Plausibility Approach

Mary Clyde Pierce; Kim Kaczor; Dana Lohr; Kristen Richter; Suzanne P. Starling

doi:10.1016/j.cpem.2012.06.009

A Practical Guide to Differentiating Abusive From Accidental Fractures: An Injury Plausibility Approach

Mary Clyde Pierce^*, Kim Kaczor, Dana Lohr, Kristen Richter, Suzanne P. Starling

^*Corresponding author for this work

Pediatrics

Research output: Contribution to journal › Article › peer-review

8 Scopus citations

Abstract

A young child presents to you for care and you have identified a fracture. Now what? What are the steps you need to take to make sure you are not missing abuse, and what are the most common characteristics of an abuse case? What are common pitfalls that result in an incorrect conclusion? This article will offer a practical approach to the assessment and management of the young child or infant diagnosed as having a fracture. This article will focus on the questions to ask that help ascertain the manner of injury and determine whether the history provided is a plausible explanation of the fracture. A general overview of the literature regarding fractures in children is also provided.

Original language	English (US)
Pages (from-to)	166-177
Number of pages	12
Journal	Clinical Pediatric Emergency Medicine
Volume	13
Issue number	3
DOIs	https://doi.org/10.1016/j.cpem.2012.06.009
State	Published - Sep 2012

Keywords

Child abuse
Fracture
Inflicted
Nonaccidental trauma
Plausible

ASJC Scopus subject areas

Pediatrics, Perinatology, and Child Health
Emergency Medicine

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1016/j.cpem.2012.06.009

Cite this

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A Practical Guide to Differentiating Abusive From Accidental Fractures: An Injury Plausibility Approach

Abstract

Keywords

ASJC Scopus subject areas

UN SDGs

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