Starling Suzanne P, Heller Richard M, Jenny Carole
Department of Pediatrics, Vanderbilt University School of Medicine, Nashville, TN, USA.
Child Abuse Negl. 2002 May;26(5):475-80. doi: 10.1016/s0145-2134(02)00323-x.
The purpose of this article is to describe pelvic fractures in two abused male infants, and to determine if the literature describes pelvic fractures in infants as suspicious for child physical abuse.
Two infants are described with unexplained pelvic fractures. While in one case child abuse was obvious, careful attention to the radiological evaluation and case history led to the correct diagnosis of child abuse in the second case. A search for information regarding pelvic fractures in children resulted in information limited to the radiological and surgical literature.
Medical providers frequently encounter children with fractures suspicious for child abuse. The most common fractures seen in abused children are metaphyseal, rib, skull, and long bone fractures. This report illustrates that pelvic fractures occurring in the absence of serious, well documented accidents should be considered highly suspicious for child physical abuse.
本文旨在描述两名受虐男婴的骨盆骨折情况，并确定文献中是否将婴儿骨盆骨折描述为疑似儿童身体虐待的情况。
描述了两名患有不明原因骨盆骨折的婴儿。其中一例中虐待儿童的情况很明显，而在另一例中，通过对放射学评估和病史的仔细关注得出了虐待儿童的正确诊断。对儿童骨盆骨折相关信息的搜索结果显示，相关信息仅限于放射学和外科学文献。
医疗服务提供者经常会遇到疑似受虐儿童骨折的情况。受虐儿童中最常见的骨折是干骺端骨折、肋骨骨折、颅骨骨折和长骨骨折。本报告表明，在没有严重且记录充分的意外事故情况下发生的骨盆骨折应被高度怀疑为儿童身体虐待。
