Physical abuse of children: a review for orthopedic surgeons.
Statistics show that more than half the victims of child abuse have fractures. The orthopedic surgeon will often be the first person to identify a potentially abused child. In a series at Brenner Children's Hospital, 17% of abused children had a fracture as the initial manifestation of child abuse. For protection of the child, it is essential that the orthopedic surgeon recognize the signs of child abuse and make a referral to the appropriate child protection agency. In this review article, we discuss recognition of common types of child abuse and outline appropriate management of child abuse cases.
Sinal
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Department of Pediatrics, Brenner Center for Child and Adolescent Health, Brenner Children's Hospital, Winston-Salem, NC, USA.
Stewart
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D002056:Burns / Q000209:etiology; D002649:Child Abuse / Q000175:diagnosis*; D003288:Contusions / Q000209:etiology; D050723:Fractures, Bone / Q000209:etiology; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D010808:Physical Examination; D012307:Risk Factors