Child abuse and orthopaedic injury patterns: analysis at a level I pediatric trauma center.

摘要: BACKGROUND: Child abuse is a serious threat to the physical and psychosocial well-being of pediatric population. Musculoskeletal injuries are common manifestations child abuse. There have been multiple studies that attempted identify factors associated with, specific injury patterns seen with musculoskeletal trauma from abuse, yet there no large used prospectively collected data controlled comparisons. The purpose our study was describe orthopaedic for cases detected in urban area institution serves, compare profiles these victims general (accidental) patients emergency room and/or hospitalized during same time period. METHODS: This retrospective review information an level I center. Five hundred (age birth 48 mo) were identified by membership institution's Suspected Abuse Neglect database between 1998 2007. These compared against 985 control age group 2000 2003. Age, sex, type compared. RESULTS: Victims on average younger than accidental cohort under months age. difference sex distribution patients. When entire examined after adjusting odds rib (14.4 times), tibia/fibula (6.3 radius/ulna (5.8 clavicle fractures (4.4 times) significantly higher versus regrouping based age, 18 (23.7 (12.8 humerus (2.3 femur (1.8 found be group. Yet, more group, risk (3.4 (3.3 actually CONCLUSIONS: Patients who present center generally younger, equal propensity male or female. It important clinician recognize patient (younger older mo walking age) determinant identifying suspicious below rib, tibia/fibula, humerus, likely when advance beyond months, their presentation long bone (ie, humerus) related Language: en