Genital Findings in Prepubertal Girls Evaluated for Sexual Abuse: A Different Perspective on Hymenal Measurements

摘要: OBJECTIVE To evaluate the usefulness of horizontal transhymenal diameter as a screening parameter to differentiate between prepubertal girls with and without other definitive signs sexual abuse. DESIGN Case comparison study using measurements diagnostic test referenced against prior publications criterion standards. SETTING A primary care (family practice) clinic in association an academic program northern California. PATIENTS consecutive, referred sample 1058 aged 6 months 10 years who were examined allegedly having been sexually molested 1987 1994. RESULTS Girls no genital trauma exhibited mean 2.3 mm general showed increase approximately 1 per year age. 9.0 significant variance Correcting for age differences, was highly differentiating factor (F = 1079, P < .001). When compared standard, measurement is 99% specific 79% sensitive tool. CONCLUSION Although not independently molestation, diameter, when standard age, useful physicians evaluating children potential