Physical Abuse: Fractures

Pediatr Clin North Am. 2025 Jun;72(3):411-427. doi: 10.1016/j.pcl.2025.01.001. Epub 2025 Mar 10.

ABSTRACT

Evaluating children who present with fractures for abuse can be challenging but is important since fractures are one of the commonest presentations of physical injury in children who are physically abused. Understanding the biomechanics of various fracture morphologies, recognizing fracture patterns correlated with abuse, and utilizing evidence-based diagnostic imaging modalities and protocols supports the clinician’s ability to make a plan for further evaluation, make an informed assessment of the likelihood of abuse, and promptly contact child protection agencies.

PMID:40335169 | DOI:10.1016/j.pcl.2025.01.001