Skip to Content

Fracture at Certain Ages May Prompt Child Abuse Evaluation

FRIDAY, Jan. 29, 2021 -- Routine evaluation for child abuse is recommended for children aged younger than 3 years presenting with rib fractures and for children aged younger than 18 months presenting with humeral or femoral fractures, according to a review published in the January issue of Academic Emergency Medicine.

Ian C. Mitchell, M.D., from the University of Texas Health Science Center at San Antonio and Baylor College of Medicine, and colleagues conducted a systematic review to determine which children presenting with rib or long-bone fractures should undergo routine abuse evaluation based on age.

The researchers identified studies with comparable age ranges of patients and adequate evidence to meet the determination of abuse standard for pediatric patients with rib, humeral, and femoral fractures. Overall, 77 percent of children aged younger than 3 years presenting with rib fractures were abused; on exclusion of those involved in motor vehicle collisions, 96 percent were abused. Forty-eight percent of children aged younger than 18 months with humeral fractures had abuse identified. Abuse was diagnosed in 34 and 25 percent of children with femoral fractures aged younger than 12 and 18 months, respectively.

"These recommendations are intended to guide practitioners and facilities in standardizing the age at which an abuse evaluation is routinely initiated for young children presenting with rib, humeral, and/or femoral fractures who were not in an independently verified incident, regardless of clinical suspicion," the authors write.

Abstract/Full Text

© 2021 HealthDay. All rights reserved.

Posted: January 2021

Read this next

Birth Weight Modifies Link Between Adult IGF-1 Levels, T2DM

TUESDAY, March 2, 2021 -- Birth weight modifies the association between adulthood levels of circulating insulin-like growth factor-1 (IGF-1) and development of type 2 diabetes...

Treatment to Lower RA Disease Activity Feasible in Pregnancy

THURSDAY, Feb. 25, 2021 -- Low disease activity and remission are feasible goals for women with rheumatoid arthritis (RA) cared for with a modern treatment approach during...

Children Conceived by ART Are Shorter, Lighter at Birth

TUESDAY, Feb. 23, 2021 -- Children conceived by assisted reproduction technology (ART) are shorter and lighter at birth than those conceived naturally, but have similar height and...

More News Resources

Subscribe to our Newsletter

Whatever your topic of interest, subscribe to our newsletters to get the best of in your inbox.