Fractures Resulting From Inflicted Trauma: Assessing Injury and History Compatibility

Mary Clyde Pierce*, Gina Bertocci

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

8 Scopus citations


Fractures are the second most common presentation of child abuse and may be a marker of an especially volatile and high-risk form of abusive trauma. Abuse is an escalating form of trauma: once a child sustains a fracture, regardless of intentionality, it is highly likely that further harm will occur. Up to 50% of children diagnosed with abusive trauma have healing fractures. The possibility of concomitant injuries of the brain or abdomen must also be considered, even in the absence of symptoms, because of a high incidence of occult injuries in the abused patient. This article will provide an overview of fractures resulting from inflicted trauma in young children and will address the issue of assessing injury and history compatibility. Fact-based cases are provided for illustrative purposes.

Original languageEnglish (US)
Pages (from-to)143-148
Number of pages6
JournalClinical Pediatric Emergency Medicine
Issue number3
StatePublished - Sep 1 2006


  • fractures
  • inflicted trauma
  • injury plausibility

ASJC Scopus subject areas

  • Emergency Medicine
  • Pediatrics, Perinatology, and Child Health


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