The etiology and significance of fractures in infants and young children: a critical multidisciplinary review

Sabah Servaes*, Stephen D. Brown, Arabinda K. Choudhary, Cindy W. Christian, Stephen L. Done, Laura L. Hayes, Michael A. Levine, Joëlle A. Moreno, Vincent J. Palusci, Richard M. Shore, Thomas L. Slovis

*Corresponding author for this work

Research output: Contribution to journalReview article

31 Scopus citations

Abstract

This paper addresses significant misconceptions regarding the etiology of fractures in infants and young children in cases of suspected child abuse. This consensus statement, supported by the Child Abuse Committee and endorsed by the Board of Directors of the Society for Pediatric Radiology, synthesizes the relevant scientific data distinguishing clinical, radiologic and laboratory findings of metabolic disease from findings in abusive injury. This paper discusses medically established epidemiology and etiologies of childhood fractures in infants and young children. The authors also review the body of evidence on the role of vitamin D in bone health and the relationship between vitamin D and fractures. Finally, the authors discuss how courts should properly assess, use, and limit medical evidence and medical opinion testimony in criminal and civil child abuse cases to accomplish optimal care and protection of the children in these cases.

Original languageEnglish (US)
Pages (from-to)591-600
Number of pages10
JournalPediatric radiology
Volume46
Issue number5
DOIs
StatePublished - May 1 2016

Keywords

  • Child abuse
  • Children
  • Fractures
  • Infants
  • Metabolic bone disease
  • Non-accidental trauma
  • Radiography
  • Rickets
  • Vitamin D

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Radiology Nuclear Medicine and imaging

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    Servaes, S., Brown, S. D., Choudhary, A. K., Christian, C. W., Done, S. L., Hayes, L. L., Levine, M. A., Moreno, J. A., Palusci, V. J., Shore, R. M., & Slovis, T. L. (2016). The etiology and significance of fractures in infants and young children: a critical multidisciplinary review. Pediatric radiology, 46(5), 591-600. https://doi.org/10.1007/s00247-016-3546-6