ReviewDeutsches Arzteblatt international2018
Abuse as a Cause of Childhood Fractures.
Review in Deutsches Arzteblatt international, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- Trends in documenting and coding of child physical abuse in hospitalised children and adolescents in Germany: a nationwide administrative data analysis.European journal of pediatrics · 2026Article
- Distinguishing suspected inflicted from accidental falls from a caregiver's arms: a pattern-based analysis of extremity injuries in children.Forensic science, medicine, and pathology · 2026Article
- Global High-Cited Pediatric Fracture Research: Bibliometric Assessment of Scopus Publications (1929-2024).Indian journal of orthopaedics · 2026Review
- Reports of Maltreatment in a Children's Hospital: Evaluation of the Epidemiological Profile and Its Relationship with the Outcome in Fractures.Revista brasileira de ortopedia · 2024Article
- Bone fragility and osteoporosis in children and young adults.Journal of endocrinological investigation · 2024Review
- Article
- Patterns of Mandibular Fractures through Human Aggression: A 10-Year Cross-Sectional Cohort Retrospective Study.Journal of clinical medicine · 2023Article
- Child Fractures: Are We Getting More Surgical?Revista brasileira de ortopedia · 2023Article
- Unrecognized Lower Jaw Fracture in a Physically and Emotionally Abused Child.Acta stomatologica Croatica · 2022Article
- Osteoporosis in children and adolescents: when to suspect and how to diagnose it.European journal of pediatrics · 2022Review
- The Etiology and Epidemiology of Pediatric Facial Fractures in North-Western Romania: A 10-Year Retrospective Study.Children (Basel, Switzerland) · 2022Article
- The Prevalence and Consequences of Adverse Childhood Experiences in the German Population.Deutsches Arzteblatt international · 2019Article
- Little Significance.Deutsches Arzteblatt international · 2019Article
- In Reply.Deutsches Arzteblatt international · 2019Article
- Undifferentiated Description.Deutsches Arzteblatt international · 2019Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIt is well known that physical abuse of children all too often escapes detection. Fractures are among the potential consequences of physical abuse but are also com- mon in childhood because of accidents. A question frequently addressed to the Medical Child Protection Hotline (Medizini- sche Kinderschutzhotline) is how fractures due to abuse can be distinguished from accidental fractures.
methodsThis review is based on pertinent publications retrieved by a search in PubMed and in the Cochrane Data- base, as well as on the authors' experience in a pediatric emergency department with ca. 29 000 consultations per year and in a child protection outpatient clinic with ca. 100 consultations per year.
resultsFractures due to abuse are especially common among infants; their incidence is estimated at 56.8/100 000 among infants less than six months old and 39.8/100 000 among infants aged 6 to 11 months. In consideration of the age of the child, the type of fracture, the history, and other factors, a high probability of abuse can be suspected in many cases, so that further measures can be initiated.
conclusionAll physicians involved in the care of children (even if only occasionally) should be aware of the major indicators of likely physical abuse and of the available oppor- tunities for counseling and intervention. Failures to diagnose child abuse are associated with high rates of recurrence and mortality.
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