儿童虐待与法律体系：矫形外科医生在诊断中的角色。
Child abuse and the legal system: the orthopaedic surgeon's role in diagnosis.
机构信息
University of Chicago, 5841 S Maryland Avenue, MC3079, Chicago, IL 60637, USA.
出版信息
Clin Orthop Relat Res. 2011 Mar;469(3):768-75. doi: 10.1007/s11999-010-1564-5.
BACKGROUND
Orthopaedic surgeons have unique training and experience in diagnosis of fractures, both accidental and nonaccidental. That experience is valuable in identifying physical child abuse and in avoiding false accusations or convictions. Both aspects are important to the welfare of children and their families. The events that follow a report of child abuse are outside the training and experience of most orthopaedic surgeons.
QUESTIONS/PURPOSES: What process follows a report of suspected child abuse? What unexpected outcomes or results occur in this process? Are medical conclusions used in this process consistent with the state of our knowledge?
METHODS
The child abuse legal process is described as experienced by one orthopaedic surgeon. Examples of unexpected problems that occurred in cases that went to trial are described.
CONCLUSIONS
Inappropriate outcomes can result from incomplete or incorrectly applied information. The input of the orthopaedic surgeon is often needed to provide the best information available to ensure that the best interests of the child and the family are protected. Working within a hospital team is the preferred method, but direct courtroom testimony is sometimes necessary.
背景
骨科医生在诊断意外和非意外骨折方面具有独特的培训和经验。这种经验对于识别身体虐待儿童和避免错误的指控或定罪非常有价值。这两个方面都对儿童及其家庭的福利至关重要。报告虐待儿童事件后的事件超出了大多数骨科医生的培训和经验范围。
问题/目的：报告疑似虐待儿童后会发生什么过程？在这个过程中会出现哪些意想不到的结果或结果？在这个过程中使用的医学结论是否与我们的知识状况一致？
方法
一位骨科医生描述了虐待儿童的法律程序。描述了在审判案件中发生的意外问题的例子。
结论
不完整或不正确应用信息会导致不适当的结果。骨科医生的意见通常是提供可用的最佳信息所必需的，以确保保护儿童和家庭的最大利益。在医院团队中工作是首选方法，但有时需要直接在法庭上作证。
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