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

doi:10.1007/s00247-016-3546-6

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 journal › Article › peer-review

39 Scopus citations

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 language	English (US)
Pages (from-to)	1-10
Number of pages	10
Journal	Pediatric Radiology
DOIs	https://doi.org/10.1007/s00247-016-3546-6
State	Accepted/In press - Feb 17 2016
Externally published	Yes

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

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10.1007/s00247-016-3546-6

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title = "The etiology and significance of fractures in infants and young children: a critical multidisciplinary review",

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.",

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AU - Servaes, Sabah

AU - Brown, Stephen D.

AU - Choudhary, Arabinda K.

AU - Christian, Cindy W.

AU - Done, Stephen L.

AU - Hayes, Laura L.

AU - Levine, Michael A.

AU - Moreno, Joëlle A.

AU - Palusci, Vincent J.

AU - Shore, Richard M.

AU - Slovis, Thomas L.

PY - 2016/2/17

Y1 - 2016/2/17

N2 - 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.

AB - 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.

KW - Child abuse

KW - Children

KW - Fractures

KW - Infants

KW - Metabolic bone disease

KW - Non-accidental trauma

KW - Radiography

KW - Rickets

KW - Vitamin D

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JO - Pediatric Radiology

JF - Pediatric Radiology

ER -

The etiology and significance of fractures in infants and young children: a critical multidisciplinary review

Abstract

Keywords

ASJC Scopus subject areas

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