We report 2 cases where accidents from inline skating resulted in significant genital injury to female children. When genital trauma occurs in children, it frequently raises the concern that sexual abuse might have caused the injury. Historical information provided by the child and others must be compared with the injuries to understand whether an injury may be the result of abuse. We characterize the nature of the genital injuries of our cases as being caused by an accidental “rapid-splits” type mechanism while children were using inline skates. We conclude that the reported accidental mechanism caused the identified injuries. Distinguishing accidental from abusive causes of genital trauma is critical. We report these cases, as there are no reports in the literature regarding this accidental mechanism of injury.
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August 2002
Electronic Article|
August 01 2002
Genital Injuries in Prepubertal Girls From Inline Skating Accidents
Bernhard Herrmann, MD;
Bernhard Herrmann, MD
*Department of Pediatrics, Klinikum Kassel, Germany
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James Crawford, MD
James Crawford, MD
‡Center for Child Protection, Children’s Hospital, Oakland, California
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Address correspondence to Bernhard Herrmann, MD, Child Protection Center, Pediatric Department, Klinikum Kassel, Mönchebergstr. 43, 34125 Kassel, Germany. E-mail: b.herrmann@t-online.de
Pediatrics (2002) 110 (2): e16.
Article history
Accepted:
May 09 2002
Received:
December 04 2002
Citation
Bernhard Herrmann, James Crawford; Genital Injuries in Prepubertal Girls From Inline Skating Accidents. Pediatrics August 2002; 110 (2): e16. 10.1542/peds.110.2.e16
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