Are classic metaphyseal lesions pathognomonic for child abuse? Two cases of motor vehicle collision-related extremity CML and a review of the literature

Culotta, Paige; Burge, Lauren; Bachim, Angela; Donaruma‐Kwoh, Marcella

doi:10.1016/j.jflm.2020.102006

Cited by 2 publications

(1 citation statement)

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“…CML and rib fractures despite their high abuse specificity, due to their rare association with birth-related fractures, can still implicate a challenge in the diagnosis of abuse [ 103 , 104 ]. Additionally, there have been reports in the literature indicating inertial force, harsh manipulation, and motor vehicle collisions causing CMLs, thus indicating the absence of one specific injury characteristic of abuse [ 105 ].…”

Section: Reviewmentioning

confidence: 99%

A Multispecialty Approach to the Identification and Diagnosis of Nonaccidental Trauma in Children

Manan¹,

Rahman²,

Komer³

et al. 2022

Cureus

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Child abuse is a preventable phenomenon of considerable concern resulting in significant child mortality and morbidity. We analyze various abuse lesions such as radiological (visceral and skeletal lesions and those associated with head trauma) and cutaneous (burns, bruises, bites, etc.) to enhance streamlined identification of injuries in cases of physical child abuse. For effective results, it is essential to remain mindful of all background factors, such as the caregiver setting and the prevalence of child maltreatment in the concerned community while acknowledging the possibility of natural causes (genetic diseases such as osteogenesis imperfecta and hemophilia, or acquired abnormalities) that can mimic NAT and cause confusion in diagnosis and treatment. The margin of error in cases of abuse is negligible, therefore, making its diagnosis a momentous as well as challenging clinical task. An ineffective diagnosis can have detrimental emotional consequences for the family and may even expose the child to future potentially fatal episodes of abuse. Hence, there is a need to direct special focus on the importance of accurate history taking and immediate, responsible reporting to authorities, as well as to child protective services. Therefore, considering the multifactorial approach this subject requires, this review aims to delve into prevalence statistics, various risk factors, and their effect on psychological health to offer a near-complete regulation to ensure an effective understanding of NAT on part of doctors, social workers, and other relevant authorities.

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Section: Reviewmentioning

confidence: 99%