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

Research output: Contribution to journalArticle

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)1-10
Number of pages10
JournalPediatric Radiology
DOIs
StateAccepted/In press - Feb 17 2016
Externally publishedYes

Fingerprint

Child Abuse
Vitamin D
Metabolic Diseases
Child Care
Epidemiology
Bone and Bones
Health
Wounds and Injuries

Keywords

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

ASJC Scopus subject areas

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

Cite this

Servaes, S., Brown, S. D., Choudhary, A. K., Christian, C. W., Done, S. L., Hayes, L. L., ... Slovis, T. L. (Accepted/In press). The etiology and significance of fractures in infants and young children: a critical multidisciplinary review. Pediatric Radiology, 1-10. https://doi.org/10.1007/s00247-016-3546-6

The etiology and significance of fractures in infants and young children : a critical multidisciplinary review. / Servaes, Sabah; Brown, Stephen D.; Choudhary, Arabinda K.; Christian, Cindy W.; Done, Stephen L.; Hayes, Laura L.; Levine, Michael A.; Moreno, Joëlle A.; Palusci, Vincent J.; Shore, Richard M.; Slovis, Thomas L.

In: Pediatric Radiology, 17.02.2016, p. 1-10.

Research output: Contribution to journalArticle

Servaes, S, Brown, SD, Choudhary, AK, Christian, CW, Done, SL, Hayes, LL, Levine, MA, Moreno, JA, Palusci, VJ, Shore, RM & Slovis, TL 2016, 'The etiology and significance of fractures in infants and young children: a critical multidisciplinary review', Pediatric Radiology, pp. 1-10. https://doi.org/10.1007/s00247-016-3546-6
Servaes, Sabah ; Brown, Stephen D. ; Choudhary, Arabinda K. ; Christian, Cindy W. ; Done, Stephen L. ; Hayes, Laura L. ; Levine, Michael A. ; Moreno, Joëlle A. ; Palusci, Vincent J. ; Shore, Richard M. ; Slovis, Thomas L. / The etiology and significance of fractures in infants and young children : a critical multidisciplinary review. In: Pediatric Radiology. 2016 ; pp. 1-10.
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