Orthopedic manifestations of child abuse

John D Milner1, Davis A Hartnett2, Steven F DeFroda2

  • 1Department of Orthopaedic Surgery, Brown University, Warren Alpert School of Medicine, 593 Eddy Street, Providence, RI, USA. john_milner@brown.edu.

Pediatric Research
|November 25, 2021
PubMed

Insights

Child abuse is prevalent but often missed. Recognizing orthopedic injuries in children can help medical providers detect abuse early, preventing severe consequences and improving outcomes.

Area of Science:

  • Pediatrics
  • Orthopedic Surgery
  • Forensic Medicine

Background:

  • Child abuse is a significant public health issue in the United States, frequently going undetected.
  • Children with a history of abuse face increased risks of chronic health conditions.
  • Medical providers play a crucial role in identifying abuse and are mandated reporters.

Purpose of the Study:

  • To review current literature on the orthopedic manifestations of child abuse.
  • To enhance medical provider awareness of potential indicators of abuse.
  • To emphasize the importance of early detection in preventing severe injuries.

Main Methods:

  • Literature review of studies on orthopedic injuries and child abuse.
  • Analysis of how specific orthopedic injuries can raise suspicion for abuse.
  • Evaluation of the role of medical providers in screening and reporting.

Main Results:

  • Certain orthopedic injuries are strongly associated with abusive trauma.
  • Clinical suspicion of abuse can be triggered by specific injury patterns.
  • Early identification through history and screening aids in intervention.

Conclusions:

  • Increased medical provider awareness of orthopedic signs of child abuse is critical.
  • Education and screening protocols can lead to earlier detection of child abuse.
  • Prompt identification and intervention can mitigate long-term health consequences for abused children.

Related Concept Videos

Bone Disorders01:29

Bone Disorders

Aging and its effect on bone remodeling is the most common cause of bone disorders. In young and healthy people, bone deposition and resorption happen at an equal rate to maintain optimal bone health.
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
4.2K
Fractures: Bone Repair01:27

Fractures: Bone Repair

Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
3.9K
The Functions of the Skeletal System01:22

The Functions of the Skeletal System

The most apparent functions of the skeletal system are support, protection, and movement. However, bone tissue also performs several other critical metabolic functions. For one, the bone matrix acts as a reservoir for a number of minerals important to the functioning of the body, especially calcium and phosphorus. These minerals, present in the bone tissue, can be released back into the bloodstream when required. Calcium ions, for example, are essential for muscle contractions and controlling...
4.9K
Disorders of the Skeletal Muscle01:28

Disorders of the Skeletal Muscle

The clinical conditions affecting the skeletal muscle tissue are broadly categorized as musculoskeletal and neuromuscular disorders.
Musculoskeletal disorders
Musculoskeletal disorders involve injuries and conditions affecting the skeletal muscles and associated connective tissues. These disorders can arise from acute biomechanical stresses or chronic overuse and can occur across different age groups. Common injuries include sprains, fractures, and muscular strains, often resulting from...
1.3K
Changes in the Appendicular Skeleton with Age01:09

Changes in the Appendicular Skeleton with Age

The upper and lower limb initially develops as a small bulge called a limb bud, which appears on the lateral side of the early embryo. The upper limb bud appears near the end of the fourth week of development, with the lower limb bud appearing shortly after.
Initially, the limb buds consist of a core of mesenchyme covered by a layer of ectoderm. The ectoderm at the end of the limb bud thickens to form a narrow crest called the apical ectodermal ridge. This ridge stimulates the underlying...
2.8K
Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation01:21

Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation

Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
62