Susan A. Scherl, a,
aDepartment of Orthopaedics and Rehabilitation, The University of Nebraska Medical Center, 10506 Burt Circle, Omaha, NE 68114, USA
Child abuse is a clinical diagnosis, made on the basis of a thorough history and physical exam, with radiographic studies as indicated. A multi-disciplinary approach can aid in diagnosis. Fractures are the second most common manifestation of abuse, and between 30% and 50% of victims will require the services of an orthopaedic surgeon. Familiarity with the list of high- and low-specificity fractures for abuse is useful, as is knowledge of the differential diagnosis. Fractures secondary to abuse generally have a good outcome and long-term prognosis. Appropriate referrals and intervention can decrease risk of future abuse.
Current Paediatrics Volume 16, Issue 3 , June 2006, Pages 199-204.