Forensic Aspects of Pediatric Fractures

Differentiating Accidental Trauma from Child Abuse

Forensic Aspects of Pediatric Fractures

Differentiating Accidental Trauma from Child Abuse

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Fractures are a common finding in children and it is estimated that 2.1% of all children will suffer at least one fracture before the age of 16. With young children in particular, the question may arise if this is related to child abuse. The aim of this book is to help physicians involved in child abuse cases to interpret radiological findings in light of the forensic circumstances under which they occurred. The authors present up-to-date literature related to the mechanisms underlying non-accidental cases of trauma.

In this book not only the radiological findings in child-abuse are discussed, but more importantly, these findings are analyzed from a forensic perspective. Careful attention is paid to evidence regarding reported trauma mechanisms and their clinical outcome; for example, can a fall from a couch result in a femoral fracture, and if not, where is the supporting evidence?


1;Foreword I;62;Foreword II;73;Contents;94;General Aspects of Fractures in Child Abuse;154.1;1.1 Introduction;154.2;1.2 Incidence of Fractures in Children;164.3;1.3 Difference Between Fractures in Children and Adults ;174.4;1.4 Fractures: Differential Diagnosis;184.5;1.5 Fractures in Child Abuse;214.6;1.6 The Role of the Radiologist When Child Abuse Is Suspected;254.7;1.7 Ethical Dilemmas in Suspicion of Child Abuse;264.8;References;265;Head;285.1;2.1 Introduction;285.2;2.2 Signs, Symptoms and Complications;285.3;2.3 Biomechanical Aspects of Fractures of the Cranium;285.4;2.4 Types of Skull Fracture;315.5;2.5 Skull Fractures and Intracranial Injury;355.6;2.6 Skull Fractures: Differential Diagnosis;385.7;2.7 Growing Fractures of the Skull;495.8;2.8 The Dating of Skull Fractures;525.9;2.9 Basilar Fractures;535.10;2.10 Facial Fractures and Dental Damage;535.11;References;566;Ribs;616.1;3.1 Introduction;616.2;3.2 Signs, Symptoms and Complications;616.3;3.3 Biomechanical Aspects of Rib Fractures;626.4;3.4 Rib Fractures and Child Abuse;656.5;3.5 Rib Fractures: Differential Diagnosis;706.6;References;777;Clavicles, Scapulas, Sternum, Vertebrae and Pelvis;797.1;4.1 Clavicles ;797.2;4.2 Sternum ;817.3;4.3 Scapula Fractures 4.3.1 Introduction;827.4;4.4 Fractures of the Vertebrae;837.5;4.5 Fractures of the Pelvis;867.6;References;888;The Extremities;918.1;5.1 Introduction;918.2;5.2 Anatomy and Physiology;918.3;5.3 Shaft Fractures ;928.4;5.4 Injuries to Metaphysis and Epiphysis;948.5;5.5 Humerus ;998.6;5.6 Radius and Ulna ;1038.7;5.7 Femur;1068.8;5.8 Tibia and Fibula ;1108.9;5.9 Shaft Fractures of the Lower Extremities;1128.10;5.10 Hands and Feet;1138.11;5.11 Subperiosteal Haemorrhages/ Calcifications;1138.12;5.12 Growth-Retardation Lines ;1138.13;References;1169;Accidental Trauma;1199.1;6.1 Introduction;1199.2;6.2 Fractures Resulting from Birth Trauma ;1199.3;6.3 Accidental Fractures ;1219.4;6.4 Short-Distance Fall ;1249.5;6.5 Fall with a Baby Walker ;1279.6;6.6 Baby Bouncer-Related Injuries ;1299.7;6.7 Fall from Bunk Bed ;1299.8;6.8 Fall from a Perambulator ;1329.9;6.9 Fall from a High Chair ;1339.10;6.10 Fall from a Staircase;1349.11;6.11 Fall from a Shopping Trolley ;1359.12;6.12 Fall from a Trampoline ;1369.13;6.13 Fall from a Considerable Height ;1379.14;6.14 Fractures Resulting from Daily Care and Medical Procedures;1389.15;6.15 Sports Fractures ;1409.16;References;14110;Normal Variants, Congenital and Acquired Disorders;14410.1;7.1 Introduction;14410.2;7.2 Normal Variants;14410.3;7.3 Osteogenesis Imperfecta;14410.4;7.4 Rickets ;15110.5;7.5 Syndromes and Congenital disorders ;15810.6;7.6 Skeletal Dysplasias ;16210.7;7.7 Metabolic Disorders ;16310.8;7.8 Infectious Diseases ;16610.9;7.9 Oncological Diseases;16810.10;7.10 Medication-Related Abnormalities ;17110.11;7.11 Other Disorders ;17510.12;7.12 'Temporary Brittle-Bone Disease'?;17710.13;References;17811;Radiology in Suspected Child Abuse;18211.1;8.1 Introduction;18211.2;8.2 Conventional Radiology ;18211.3;8.3 Bone Scintigraphy;19011.4;8.4 Computed Tomography and Magnetic Resonance Imaging;19111.5;8.5 Postmortem Imaging;19211.6;References;19812;Fracture Dating;20012.1;9.1 Introduction;20012.2;9.2 Anamnestic and Clinical Manifestations;20112.3;9.3 Radiological Characteristics;20112.4;9.4 Histological Fracture Dating of Fresh and Dried Bone Tissue;20512.5;References;21113;Index;215
ISBN 9783540787167
Artikelnummer 9783540787167
Medientyp E-Book - PDF
Auflage 2. Aufl.
Copyrightjahr 2010
Verlag Springer-Verlag
Umfang 209 Seiten
Sprache Englisch
Kopierschutz Digitales Wasserzeichen