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Nonaccidental Injury in Children

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Part of the Forensic Science and Medicine book series (FSM)

Abstract

Nonaccidental injury (NAI) is a common condition in children and carries a significant morbidity and mortality. Doctors have an important role in recognizing, assessing, and managing children with suspected NAI.

Keywords

  • Child Abuse
  • Physical Abuse
  • Child Protection
  • Compute Tomo
  • Accidental Injury

These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. Department of Health. Children Act 1989—Guidance and Regulations. Her Majesty’s Stationery Office, London, UK, 1991.

    Google Scholar 

  2. The Child Abuse and Treatment Act Amendments of 1996. PL 104-235. March 10, 1996.

    Google Scholar 

  3. Department of Health, Home Office, Department for Education and Employment. Working Together to Safeguard Children. A Guide to Inter-agency Working to Safeguard and Promote the Welfare of Children. The Stationery Office, London, UK, 1999.

    Google Scholar 

  4. Gibbons, J., Gallagher, B., Bell, C., Gordon, D. Development After Physical Abuse in Early Childhood: a follow-up study of children on the child protection registers. Her Majesty’s Stationery Office, London, UK, 1995.

    Google Scholar 

  5. Newberger, E. H. Child physical abuse. Primary Car. 20:317–327, 1993.

    CAS  Google Scholar 

  6. Gibbons, J., Conroy, S., Bell, C. Operating the child protection system: a study of child protection practices in English local authorities. Her Majesty’s Stationery Office, London, UK, 1995.

    Google Scholar 

  7. American Academy of Pediatrics. Assessment of maltreatment of children with disabilities. Pediatrics. 108:508–512, 2001.

    CrossRef  Google Scholar 

  8. National Commission of Inquiry into the Prevention of Child Abuse. Childhood matters. Report of the National Commission of Inquiry into the Prevention of Child Abuse. Her Majesty’s Stationery Office, London, UK, 1996.

    Google Scholar 

  9. Child Protection Messages from Research. Studies in Child Protection. Her Majesty’s Stationery Office, London, UK, 1995.

    Google Scholar 

  10. Department of Health. Referrals, assessments and children and young people on child protection registers year ending 31 March 2002. Department of Health, UK, 2003.

    Google Scholar 

  11. Department of Health and Human Services. Child Maltreatment 2001. Reports from the states to the National Child Abuse and Neglect Data System (NCANDS). Administration for Children and Families. US Department of Health and Human Services, Washington, DC, April 2003.

    Google Scholar 

  12. Hobbs, C. J., Wynne, J. M. The sexually abused battered child. Arch. Dis. Child. 65:423–427, 1990.

    PubMed  CAS  Google Scholar 

  13. Speight, N. Nonaccidental injury. In: Meadow, R., ed., ABC of Child Abuse, 3rd Ed. British Medical Journal Publishing Group, London, UK, 1997.

    Google Scholar 

  14. Stephenson, T., Balias, Y. Estimation of the age of bruising. Arch. Dis. Child. 74:53–55, 1996.

    PubMed  CAS  Google Scholar 

  15. Stephenson, T. Ageing of bruising in children. J. R. Soc. Med. 90:312–314, 1997.

    PubMed  CAS  Google Scholar 

  16. Langlois, N., Gresham, G. The ageing of bruises: a review of the study of the color changes with time. Forensic Sci. Int. 50:227–238, 1991.

    PubMed  CrossRef  CAS  Google Scholar 

  17. Hobbs, C. J., Hanks, H., Wynne, J. M. Physical Abuse. In: Child Abuse and Neglect. A Clinician’s Handbook, 2nd Ed. Churchill Livingstone, London, UK, 1999.

    Google Scholar 

  18. O’Hare, A., Eden, O. Bleeding disorders and nonaccidental injury. Arch. Dis. Child. 59:860–864, 1984.

    PubMed  CAS  Google Scholar 

  19. McDonald, D., McFarland, T. Forensic odontology—report of a case involving bite marks. Glasgow Dent. J. 3:16–19, 1972.

    Google Scholar 

  20. Glass, R., Andrews, E., Jones, K. Bite mark evidence: a case report using accepted and new techniques. J. Forensic Sci. 25:638–645, 1980.

    PubMed  CAS  Google Scholar 

  21. Vale, G., Noguchi, T. Anatomical distribution of human bite marks in a series of 67 cases. J. Forensic Sci. 28:61–69, 1983.

    PubMed  CAS  Google Scholar 

  22. Scmitt, B. D. The child with non-accidental trauma. In: Helfer, R. E. and Kempe, R. S., eds., The Battered Child, 4th Ed. University of Chicago Press, Chicago, IL, pp. 178–196, 1987.

    Google Scholar 

  23. Hobbs, C. Burns and scalds. In: Meadow, R., ed., ABC of Child Abuse, 3rd Ed., British Medical Journal Publishing Group, London, UK, pp. 20–23, 1997.

    Google Scholar 

  24. Hobbs, C. When are burns not accidental? Arch. Dis. Child. 61:357–361, 1986.

    PubMed  CAS  Google Scholar 

  25. Feldman, K. W. Evaluation of physical abuse. In: Helfer, R. E., Kempe, R. S., and Krugman, R. D., eds., The Battered Child, 5th Ed., University of Chicago Press, Chicago, IL, pp. 175–220, 1997.

    Google Scholar 

  26. Carty, H. Non-accidental injury: a review of the radiology. Eur. Radiol. 7:1365–1376, 1997.

    PubMed  CrossRef  CAS  Google Scholar 

  27. Caffey, J. Multiple fractures of the long bones of infants suffering from chronic subdural hematoma. Am J Roentgeneol. 56:163–173, 1946.

    Google Scholar 

  28. Merten, D., Radkowski, M., Leonidis, J. The abused child: a radiological reappraisal. Radiology. 146:377–381, 1983.

    PubMed  CAS  Google Scholar 

  29. Helfer, R., Slovis, T., Black, M. Injuries resulting when small children fall out of bed. Pediatrics. 60:533–555, 1977.

    PubMed  CAS  Google Scholar 

  30. Hobbs, C. J. Skull fracture and the diagnosis of child abuse. Arch. Dis. Child. 59:246–252, 1984.

    PubMed  CAS  Google Scholar 

  31. O’Connor, J. F., Cohen, J. Dating factures. In: Kleinman, P. K., ed., Diagnostic Imaging of Child Abuse. Williams & Wilkins, Baltimore, MD, p. 112, 1987.

    Google Scholar 

  32. American Academy of Pediatrics. Diagnostic imaging of child abuse. Pediatrics. 105:6:1345–1348, 2000.

    CrossRef  Google Scholar 

  33. Hansen, K. K. Twins and child abuse. Arch. Pediatr. Adolesc. Med. 148:1345–1346, 1994.

    PubMed  CAS  Google Scholar 

  34. Duhaime, A. C., Christain, C. W., Rorke, L. B., Zimmerman, R. Nonaccidental head injury in infants—“the shaken baby syndrome.” N. Engl. J. Med. 338:1828–1829, 1988.

    Google Scholar 

  35. Green, M. A., Lieberman, G., Milroy, C. M., Parsons, M. A. Ocular and cerebral trauma in non-accidental injury in infancy; underlying mechanisms and implications for paediatric practice. Br. J. Ophthalmol. 80:282–287, 1996.

    PubMed  CrossRef  CAS  Google Scholar 

  36. American Academy of Pediatrics. Shaken baby syndrome: rotational cranial injuries—technical report (T0039). Pediatrics. 108:206–210, 2001.

    CrossRef  Google Scholar 

  37. Merten, D. F., Carpenter, B. L. M. Radiologic imaging of inflicted injury in the child abuse syndrome. Pediatr. Clin. North Am. 37:815–837, 1990.

    PubMed  CAS  Google Scholar 

  38. Ng, C. S., Hall, C. M., Shaw, D. G. The range of visceral manifestations of nonaccidental injury. Arch. Dis. Child. 77:167–174, 1997.

    PubMed  CAS  Google Scholar 

  39. Cooper, A., Floyd, T., Barlow, B., et al. Major blunt abdominal trauma due to child abuse. J.Trauma. 28:1483–1487, 1988.

    PubMed  CAS  CrossRef  Google Scholar 

  40. Department of Health. Safeguarding children in whom illness is fabricated or induced. Department of Health, Washington, DC, 2002.

    Google Scholar 

  41. Davis, P., McClure, R. J., Rolfe, K., et al. Procedures, placement, and risks of further abuse after Munchausen syndrome by proxy, non-accidental poisoning, and nonaccidental suffocation. Arch. Dis. Child. 78:217–221, 1998.

    PubMed  CAS  CrossRef  Google Scholar 

  42. Rosenberg, D. A. Web of deceit: a literature review of Munchausen syndrome by proxy. Child Abuse Negl. Int. J. 11:547–563, 1987.

    CrossRef  CAS  Google Scholar 

  43. Southall, D. P., Plunkett, M. C., Bank, M., et al. Covert video recordings of life-threatening child abuse: lessons in child protection. Pediatrics. 100:735–760, 1997.

    PubMed  CrossRef  CAS  Google Scholar 

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© 2005 Humana Press Inc., Totowa, NJ

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Thomas, A. (2005). Nonaccidental Injury in Children. In: Stark, M.M. (eds) Clinical Forensic Medicine. Forensic Science and Medicine. Humana Press. https://doi.org/10.1385/1-59259-913-3:159

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  • DOI: https://doi.org/10.1385/1-59259-913-3:159

  • Publisher Name: Humana Press

  • Print ISBN: 978-1-58829-368-8

  • Online ISBN: 978-1-59259-913-4

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