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01-05-2016 | Review

The etiology and significance of fractures in infants and young children: a critical multidisciplinary review

Authors: Sabah Servaes, Stephen D. Brown, Arabinda K. Choudhary, Cindy W. Christian, Stephen L. Done, Laura L. Hayes, Michael A. Levine, Joëlle A. Moreno, Vincent J. Palusci, Richard M. Shore, Thomas L. Slovis

Published in: Pediatric Radiology | Issue 5/2016

Abstract

This paper addresses significant misconceptions regarding the etiology of fractures in infants and young children in cases of suspected child abuse. This consensus statement, supported by the Child Abuse Committee and endorsed by the Board of Directors of the Society for Pediatric Radiology, synthesizes the relevant scientific data distinguishing clinical, radiologic and laboratory findings of metabolic disease from findings in abusive injury. This paper discusses medically established epidemiology and etiologies of childhood fractures in infants and young children. The authors also review the body of evidence on the role of vitamin D in bone health and the relationship between vitamin D and fractures. Finally, the authors discuss how courts should properly assess, use, and limit medical evidence and medical opinion testimony in criminal and civil child abuse cases to accomplish optimal care and protection of the children in these cases.

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Title: The etiology and significance of fractures in infants and young children: a critical multidisciplinary review
Authors: Sabah Servaes
Stephen D. Brown
Arabinda K. Choudhary
Cindy W. Christian
Stephen L. Done
Laura L. Hayes
Michael A. Levine
Joëlle A. Moreno
Vincent J. Palusci
Richard M. Shore
Thomas L. Slovis
Publication date: 01-05-2016
Publisher: Springer Berlin Heidelberg
Published in: Pediatric Radiology / Issue 5/2016
Print ISSN: 0301-0449
Electronic ISSN: 1432-1998
DOI: https://doi.org/10.1007/s00247-016-3546-6

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The etiology and significance of fractures in infants and young children: a critical multidisciplinary review

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