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Non-accidental pediatric pelvic fracture: a case report
N C Prendergast1, S J deRoux, N V Adsay
1Department of Radiology, Staten Island University Hospital, 475 Seaview Avenue, Staten Island, NY 10305, USA.
Pediatric Radiology
|May 7, 1998
Summary
Child abuse can cause pelvic fractures, which are rarely documented. A complete skeletal evaluation for suspected abuse should always include a frontal pelvic X-ray view.
Area of Science:
- Pediatric Radiology
- Forensic Pathology
- Child Abuse Research
Background:
- Pelvic fractures are infrequently reported as injuries resulting from child abuse.
- Documented patterns of pediatric osseous injuries are extensively described in literature.
- A comprehensive skeletal survey is crucial for diagnosing non-accidental trauma in children.
Observation:
- This report details a case of pelvic fracture attributed to child abuse.
- Radiologic findings were correlated with pathologic examination for diagnostic confirmation.
- The case highlights the importance of specific imaging views in skeletal evaluations.
Findings:
- Pelvic fractures, though rare, can be indicative of child abuse.
- Radiographic evidence of pelvic injury requires careful interpretation.
- Pathologic correlation supports the diagnosis of abuse-related fractures.
Implications:
- Forensic radiologists and pediatricians should consider pelvic fractures in cases of suspected child abuse.
- Standard skeletal surveys for child abuse should incorporate frontal pelvic views.
- Improved documentation and recognition of pelvic fractures can aid in identifying and preventing child abuse.