Chauvin-Kimoff Laurel, Allard-Dansereau Claire, Colbourne Margaret
Canadian Paediatric Society, Child and Youth Maltreatment Section, Ottawa, Ontario.
Paediatr Child Health. 2018 Apr;23(2):156-160. doi: 10.1093/pch/pxx131. Epub 2018 Apr 12.
Fractures are common injuries in childhood. While most fractures are caused by accidental trauma, inflicted trauma (maltreatment) is a serious and potentially unrecognized cause of fractures, particularly in infants and young children. This practice point identifies the clinical features that prompt concern for inflicted skeletal injury and outlines a management approach based on current literature and published guidelines, including the clinician's duty to report suspicion of child abuse to child welfare authorities. This document does not address isolated skull fractures.
骨折是儿童期常见的损伤。虽然大多数骨折是由意外创伤引起的，但故意伤害（虐待）是骨折的一个严重且可能未被认识到的原因，尤其是在婴儿和幼儿中。本实践要点确定了引发对骨骼受虐伤担忧的临床特征，并根据当前文献和已发布的指南概述了一种管理方法，包括临床医生向儿童福利机构报告虐待儿童怀疑的职责。本文档不涉及单纯的颅骨骨折。
