The AAP and the SPR Child Abuse Committee issue a clinical report on 'Evaluating children with fractures for child physical abuse'

摘要

After bruises, fractures are the most common injury and sometimes the only reliable indication that physical abuse has occurred. A multidisciplinary team approach is needed for optimal evaluation in cases of suspected child abuse. To some observers, this may seem to be a modern phenomenon, but this approach has its origins in the historical collaboration between the pediatric radiologist Fredrick Silverman, MD, and the pediatrician Henry Kempe, MD, as well as others, as described in the landmark article, "The battered-child syndrome" 1. Child abuse pediatricians are now at the center of the assessment of suspected child maltreatment, and they regularly rely upon pediatric radiologists to inform their systematic analysis of the medical aspects of these often challenging cases.