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Pelvic injuries in child abuse.
D S Ablin1, A Greenspan, M A Reinhart
1Department of Radiology, University of California, Davis Medical Center, Sacramento 95817.
Pediatric Radiology
|January 1, 1992
Summary
Radiologic examination revealed significant pelvic injuries in three child abuse cases, including fractures and heterotopic ossification. These uncommon findings highlight the need for thorough pelvic imaging in suspected child abuse evaluations.
Area of Science:
- Pediatric Radiology
- Forensic Radiology
- Child Abuse Detection
Background:
- Child abuse often involves physical trauma, but specific injuries can be subtle or atypical.
- Radiographic assessment is crucial for documenting evidence of abuse in children.
- Pelvic injuries, though less common, can be indicative of severe physical or sexual abuse.
Observation:
- Three cases of child abuse presented with prominent pelvic injuries on radiologic examination.
- Two patients exhibited pelvic fractures, while one showed heterotopic ossification in pelvic and thigh soft tissues.
- These injuries correlated with extensive bruising in the pubic, genital, buttock, and thigh regions.
Findings:
- Pelvic fractures and heterotopic ossification are uncommon radiographic findings in child abuse.
- The ischiopubic rami were identified as the most common site for these rare pelvic injuries.
- Comprehensive skeletal surveys are essential for diagnosing abuse-related injuries.
Implications:
- Radiologists and clinicians should maintain a high index of suspicion for pelvic injuries in suspected child abuse.
- Thorough radiologic assessment of the entire pelvis, particularly the ischiopubic rami, is recommended.
- Early and accurate diagnosis of these injuries can aid in child protection and intervention.