alexa Distinguishing fractures from accidental and non-accide
ISSN: 2167-1222

Journal of Trauma & Treatment
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Distinguishing fractures from accidental and non-accidental injury in children

David G Talbert*
Institute of Reproductive and Developmental Biology, Imperial College School of Medicine, Queen Charlotte’s Hospital, UK
Corresponding Author : Sheraz S Malik
Cardiff School of Engineering
Cardiff University, Queens Buildings
The Parade, Newport Road, Cardiff, CF24 3AA, UK
E-mail: [email protected]
Received March 05, 2012; Accepted March 08, 2012; Published March 10, 2012
Citation: Malik SS, Malik SS, Theobald P, Jones MD (2012) Distinguishing fractures from accidental and non-accidental injury in children. J Trauma Treatment 1:e102. doi:10.4172/2167-1222.1000e102
Copyright: © 2012 Malik SS, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


Long bone fractures in children can be due to accidental or nonaccidental injury. Fractures, along with soft tissue injuries, are the main physical signs of child abuse. The identification of non-accidental nature of fractures in children remains a major diagnostic challenge for clinicians [1]. The clinical situation is sensitive due to child protection issues and the impact of an incorrect judgement on the child and the family unit. Away from the clinical setting, the evidence for the judgement on child abuse must also withstand scrutiny in the court of law. There can also be waste of considerable resources in the investigation of a misjudged non-accidental injury. It is important to be aware of the variation in clinical traits of fractures from accidental and non-accidental injuries.

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