Intentional and unintentional abuse of infants and children

Current Problems in Diagnostic Radiology
E B Singleton

Abstract

Intentional abuse of an infant is usually apparent. External injuries such as burns, bites, and bruises, as well as the skeletal changes of fractures, frequently multiple and in various stages of healing, are obviously intentionally inflicted, and are impossible accidental injuries for the nonambulatory young infant. Similar injuries in young children may be more difficult to evaluate because of their fear of and intimidation by the person who inflicted the injury. Fortunately, the high degree of suspicion regarding the nature of the injury permits the physician to make his accusations with legal protection in our judicial system. Every radiologist should be concerned with the responsibility of reporting to the referring physician the possibility of intentional trauma to infants and children. In Harris County, where Houston is located, there are 1,500 reports per month of child abuse; in other words, this approximates 18,000 cases a year in our community, and the radiologist is frequently the first physician to see evidence of the abused child. Not only is it a moral responsibility for the radiologist to report his suspicions, but in the state of Texas, as in other states, "any person having cause to believe that a child's phys...Continue Reading

Citations

Mar 23, 1999·Archives of Disease in Childhood·R F Carpenter
Aug 25, 2009·Journal of Pediatric Orthopedics·Nirav K PandyaHarish S Hosalkar
Apr 1, 2006·Der Unfallchirurg·P M VogtS Kall

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