Childhood osteomyelitis presenting as a pathological fracture

Taylor, Magali; Chaudhuri, R.; Davis, Jose M.; Novelli, Vas; Jaswon, Mervyn

doi:10.1016/j.crad.2007.07.022

Cited by 11 publications

(4 citation statements)

References 10 publications

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“…103 Vitamin and mineral deficiencies and genetic and infectious diseases may be considered in the differential diagnosis when appropriate. [104][105][106][107] Additional discussion related to the differential diagnosis of fractures and fracture evaluation in suspected child abuse can be found in the recently published AAP clinical report. 108 …”

Section: Skin Injuriesmentioning

confidence: 99%

The Evaluation of Suspected Child Physical Abuse

Christian¹

2015

Pediatrics

450

301

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Child physical abuse is an important cause of pediatric morbidity and mortality and is associated with major physical and mental health problems that can extend into adulthood. Pediatricians are in a unique position to identify and prevent child abuse, and this clinical report provides guidance to the practitioner regarding indicators and evaluation of suspected physical abuse of children. The role of the physician may include identifying abused children with suspicious injuries who present for care, reporting suspected abuse to the child protection agency for investigation, supporting families who are affected by child abuse, coordinating with other professionals and community agencies to provide immediate and long-term treatment to victimized children, providing court testimony when necessary, providing preventive care and anticipatory guidance in the office, and advocating for policies and programs that support families and protect vulnerable children.

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Section: Skin Injuriesmentioning

confidence: 99%

The Evaluation of Suspected Child Physical Abuse

Christian¹

2015

Pediatrics

450

301

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“…Children were excluded if they were diagnosed with any of the following conditions identified by International Classification of Diseases, Tenth Revision (ICD‐10) codes: extremely low body weight, low body weight or extreme prematurity; congenital heart disease; congenital malformation of cerebral vessels; haematologic or lymphoid neoplasms; coagulation defects; renal failure; disorders of fatty acid metabolism; or disorders of copper metabolism (Table 1). These conditions are associated with fractures, retinal haemorrhage and intracranial haemorrhage, according to previous literature 10‐13 …”

Section: Methodsmentioning

confidence: 84%

“…These conditions are associated with fractures, retinal haemorrhage and intracranial haemorrhage, according to previous literature. [10][11][12][13]…”

Section: Participantsmentioning

confidence: 99%

Cumulative visits for care of minor injuries are associated with traumatic brain injury in young children

et al. 2020

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Paediatric traumatic brain injury is a serious public health issue; it is a leading cause of death and lifelong disabilities among children. The United States Centers for Disease Control and Prevention reported that, in 2013, 180 000 children aged 0-14 years were hospitalised because of traumatic brain injuries, and there were 1500 deaths related to traumatic brain injuries. 1 Additionally, children with moderate-to-severe traumatic brain injuries often develop disabilities. 2 When traumatic brain injuries occur at a very early stage of the child's life, cognitive and behavioural problems that are not initially recognised may appear later. 3,4 The mechanism of injury varies by the child's age and developmental stage. Accidental head injuries and abusive head trauma are common causes of traumatic brain injuries among children aged under 24 months. A previous study reported that the incidence of abusive head trauma in children aged under 24 months was 17.0 per 100 000. 5 Moreover, 45% of non-vehicle-related traumatic brain injuries among children aged under 36 months who were hospitalised for intensive care were found to be caused by abusive head trauma. 6

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“…Taylor et al reported on a 7-month-old infant who had sustained a fracture of the proximal left humerus with no clear explanation. Child abuse was suspected but follow-up examinations revealed radiological findings that looked more like a pathological fracture and biopsy identified Staphylococcus aureus infection on culture (33).…”

Section: Discussionmentioning

confidence: 99%

Are There Hallmarks of Child Abuse? I. Osseous Injuries

Walker

Kepron

Milroy

2016

Academic Forensic Pathology

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Fractures are commonly found in cases regarded as child abuse. The most commonly encountered fractures are to the ribs and the metaphyses. This paper examines the specificity of the classical metaphyseal lesion (CML) and rib fractures as hallmarks of child abuse. Recently, vitamin D deficiency (rickets) has been proposed as an alternative cause for the appearances typically described in CML. The literature in this area is examined. Rib fractures have also been highly associated with child abuse, particularly posterior rib fractures. As well as metabolic bone disease, resuscitation has been examined as a cause of rib fractures in young children. The current literature remains strongly supportive of rib fractures and metaphyseal fractures being indicators of child abuse.

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Childhood osteomyelitis presenting as a pathological fracture

Cited by 11 publications

References 10 publications

The Evaluation of Suspected Child Physical Abuse

The Evaluation of Suspected Child Physical Abuse

Cumulative visits for care of minor injuries are associated with traumatic brain injury in young children

Are There Hallmarks of Child Abuse? I. Osseous Injuries

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