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Updated: Jun 20, 2026

Electrophysiological Measurements and Analysis of Nociception in Human Infants
Published on: December 20, 2011
Identifying inflicted injuries in infants and young children
1Division of Child and Family Advocacy, Department of Pediatrics, Nationwide Children's Hospital, 655 E Livingston Ave, Columbus, OH 43205, United States; Department of Pediatrics, The Ohio State University College of Medicine, Columbus, OH, United States.
Insights
Child physical abuse often involves repeated injuries, necessitating prompt medical identification. Early detection and intervention by healthcare providers are crucial for saving lives and preventing further harm to children.
Area of Science:
- Pediatrics
- Forensic Medicine
- Child Health
Background:
- Child physical abuse is a significant cause of pediatric illness and death.
- A history of prior suspicious injuries is common in children with abusive injuries, indicating repeated abuse.
- Medical professionals play a vital role in identifying abuse, reporting it, and screening for associated medical issues.
Purpose of the Study:
- To review physical exam findings and injury patterns suggestive of child abuse.
- To outline the evaluation and management strategies for pediatric physical abuse.
- To emphasize the importance of early identification for intervention and prevention.
Main Methods:
- Review of physical exam findings associated with child abuse.
- Discussion of injury patterns indicative of inflicted trauma.
- Guidance on diagnostic evaluation and management protocols for suspected abuse.
Main Results:
- Repeated abusive injuries are frequently observed in affected children.
- Timely medical evaluation and reporting are critical for intervention.
- Recognizing specific injury patterns aids in diagnosing abuse.
Conclusions:
- Healthcare providers must be vigilant in identifying and reporting suspected child physical abuse.
- Comprehensive evaluation is essential to detect occult injuries and predisposing conditions.
- Early intervention based on accurate identification can prevent severe outcomes and further abuse.
Abstract:
Child physical abuse is a common cause of pediatric morbidity and mortality. Up to half of all children presenting with abusive injuries have a history of a prior suspicious injury, suggesting a pattern of repeated physical abuse. Medical providers are responsible for identifying children with suspicious injuries, completing mandated reporting to child protective services for investigation, and screening for occult injuries and underlying medical conditions that can predispose to injuries. Early identification of inflicted injuries appropriate evaluations may serve as an opportunity for life-saving intervention and prevent further escalation of abuse. However, identification of abuse can be challenging. This article will review both physical exam findings and injuries that suggest abuse as well as the evaluation and management of physical abuse.
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