Trogan I, Dessypris N, Moustaki M, Petridou E
University of Rochester School of Medicine, Rochester, NY, USA.
Arch Dis Child. 2001 Oct;85(4):289-92. doi: 10.1136/adc.85.4.289.
To examine the extent of undiagnosed child abuse in Greece by studying young children with femoral fractures, which may be associated with abuse.
Fifty seven consecutive cases of children under 6 years of age with femoral fracture were identified from the Emergency Department Injury Surveillance System database. Controls were 4162 children with other orthopaedic injuries from the same database.
Whereas in the literature about one third of femoral injuries among young children are attributed to child abuse, no child in the studied series had been diagnosed or even investigated in this context. Nevertheless, the pattern of occurrence of femoral injuries was compatible with that of child abuse, in that patients were frequently very young boys of low socioeconomic status, and the accident had frequently occurred under poorly identified or implausible conditions at time periods when most family members were crowded at home.
Epidemiological risk factors for child abuse characterise femoral fractures in young children in Greece. It appears that child abuse is present in this country as in most other cultures. There is a clear need for refocusing medical personnel and hospital social services so that the problem is revealed, quantified, and appropriately dealt with.
通过研究可能与虐待相关的股骨骨折幼儿，来调查希腊未被诊断出的儿童虐待情况。
从急诊科伤害监测系统数据库中识别出57例连续的6岁以下股骨骨折儿童病例。对照组为来自同一数据库的4162例患有其他骨科损伤的儿童。
尽管文献中约三分之一的幼儿股骨损伤归因于儿童虐待，但在所研究的系列病例中，没有儿童被诊断出甚至在此背景下接受过调查。然而，股骨损伤的发生模式与儿童虐待相符，因为患者通常是社会经济地位低下的年幼男孩，而且事故经常发生在大多数家庭成员都挤在家里时难以确定或不合理的情况下。
儿童虐待的流行病学危险因素是希腊幼儿股骨骨折的特征。该国似乎与大多数其他文化一样存在儿童虐待现象。显然需要重新调整医务人员和医院社会服务的重点，以便发现、量化并妥善处理这一问题。
