Evaluating Children with Fractures for Child Physical Abuse offers updated, evidence-based literature for assessing patients with fractures. The AAP clinical report acknowledges the fine line between differentiating childhood injuries from those caused by child abuse, and the necessary steps to intervention that will prevent risks of further abuse and consequences for the child.

Mandatory reporting requirements exist in all states. The report advises pediatricians to record careful history of injury events and determine whether the mechanism described, severity and timing are consistent with the injury. Children with fractures who have underlying disorders or disabilities have a greater likelihood of abuse. Pediatricians can consult child abuse pediatricians or a multidisciplinary child abuse team for help, particularly if the child is under age 1 or not ambulatory.

The report includes the following points:

Access the report, developed by the AAP Committee on Child Abuse and Neglect, Sections on Radiology, Endocrinology, and Orthopaedics,...

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