The Battered Child Syndrome Revisited

Galleno, Humberto; Oppenheim, William L.

doi:10.1097/00003086-198201000-00003

Cited by 54 publications

(9 citation statements)

References 1 publication

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“…These patients had an average of 9.1 fractures; had these been caused by non-accidental injury, this would have been severe and repeated. The complete lack of subsequent suspect injury contrasts with published recurrence rates of 20–50% in abused children returned to their parents 12 13. It is consistent with the view that the original fractures were unlikely to have been caused by non-accidental injury.…”

supporting

confidence: 78%

Temporary brittle bone disease: the current position

Paterson¹

2011

Archives of Disease in Childhood

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supporting

confidence: 78%

Temporary brittle bone disease: the current position

Paterson¹

2011

Archives of Disease in Childhood

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“…An older report stated that there was a 50% chance of further injury and a 10% chance of death if a child is returned home without appropriate precautions. 16 In a more recent survey, the risk of additional abuse to children returned home after therapeutic intervention in the family was estimated to be 20%-37%. 17 The risk was greatest after physical abuse.…”

Section: Discussionmentioning

confidence: 99%

Long-term follow-up of children thought to have temporary brittle bone disease

Paterson¹,

Monk²

2011

PHMT

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“…Fractures resulting from child abuse are reported to have an incidence of up to 3% [159][160][161]. A high index of suspicion should be always maintained in the presence of injuries with absent or inconsistent history of trauma, multiple skeletal fractures at different stages of healing, or a young child with a recent and sudden onset of spinal cord dysfunction, which can be an atypical form of the shaken baby syndrome.…”

Section: Spinal Trauma In Child Abusementioning

confidence: 99%

Back Pain in Children and Adolescents: Etiology, Clinical Approach and Treatment

Kalligeros¹

2006

CPR

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The purpose of this systematic review is to investigate back pain as a clinical presentation in childhood and adolescence providing the clinician with a comprehensive approach, which will enable for an early recognition of those spinal disorders in need of more aggressive medical intervention. The current literature suggests that young people have a fairly high incidence of non-specific back pain, which seems to be much more frequent than traditionally reported. In schoolchildren, low back pain is mainly associated with psychosocial factors and seems to be mostly benign and selflimiting, therefore, only occasionally requiring medical attention. However, young patients who seek medical assistance, have a higher incidence of organic conditions that can manifest with spinal pain as their predominant symptom. The evaluation of a child or adolescent presenting with back pain can be a challenging task and requires skilled clinical expertise and a high index of suspicion. The physician should have a carefully planned strategy for assessing the pediatric spine patient, which should be accurate, reliable, consistent, and easily reproducible in delineating spinal pathologies. This should include a detailed history, physical examination, radiographic imaging, and appropriate diagnostic laboratory studies. A specific diagnosis will be established in at least 50% of the patients. In certain cases, an exact diagnosis cannot be made, and it is always advisable to re-evaluate the child after a period of initial observation. By then more serious problems will advance and become more obvious while minor symptoms not linked to an underlying pathology will resolve spontaneously.

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The Battered Child Syndrome Revisited

Cited by 54 publications

References 1 publication

Temporary brittle bone disease: the current position

Temporary brittle bone disease: the current position

Long-term follow-up of children thought to have temporary brittle bone disease

Back Pain in Children and Adolescents: Etiology, Clinical Approach and Treatment

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