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Pediatric Fingertip Injuries: Association With Child Abuse
Christopher S Klifto1, Jessica A Lavery2, Heather T Gold2,3
1Department of Orthopaedics, Duke University Medical Center, Durham, NC.
Journal of Hand Surgery Global Online
|April 13, 2022
Summary
Child abuse and neglect are associated with a 23% increased risk of pediatric fingertip injuries. These findings highlight the importance of considering abuse in cases of childhood fingertip injuries.
Area of Science:
- Pediatric trauma
- Child abuse and neglect
- Forensic medicine
Background:
- Pediatric fingertip injuries are frequently accidental.
- The association between child abuse and fingertip injuries requires further investigation.
Purpose of the Study:
- To determine if child abuse and neglect are associated with pediatric fingertip injuries.
- To analyze risk factors associated with fingertip injuries in children.
Main Methods:
- Utilized the New York Statewide Planning and Research Cooperative System administrative database (2004-2013).
- Identified children aged 0-12 with fingertip injuries using ICD-9 codes.
- Employed multivariable logistic regression to analyze the association between fingertip injuries and child abuse, controlling for demographic and behavioral factors.
Main Results:
- 1.62% of children in the cohort presented with fingertip injuries.
- Children with a history of abuse had a 23% higher odds of presenting with fingertip injuries (OR=1.23).
- Medicaid insurance and behavioral risk factors (depression, ADHD, aggressive behavior, autism) were associated with increased odds of fingertip injuries.
Conclusions:
- Pediatric fingertip injuries may indicate child abuse or neglect.
- Identifying associated risk factors like insurance status and behavioral diagnoses is crucial for early detection and intervention.
