The etiology and significance of fractures in infants and young children: a critical multidisciplinary review
Pediatric Radiology, pp 1-10, First online: 17 February 2016
Sabah Servaes , Stephen D. Brown, Arabinda K. Choudhary, Cindy W. Christian, Stephen L. Done, Laura L. Hayes, Michael A. Levine, Joëlle A. Moreno, Vincent J. Palusci and 2 more
This paper addresses significant misconceptions regarding the etiology of fractures in infants and young children in cases of suspected child abuse. This consensus statement, supported by the Child Abuse Committee and endorsed by the Board of Directors of the Society for Pediatric Radiology, synthesizes the relevant scientific data distinguishing clinical, radiologic and laboratory findings of metabolic disease from findings in abusive injury. This paper discusses medically established epidemiology and etiologies of childhood fractures in infants and young children. The authors also review the body of evidence on the role of vitamin D in bone health and the relationship between vitamin D and fractures.
Finally, the authors discuss how courts should properly assess, use, and limit medical evidence and medical opinion testimony in criminal and civil child abuse cases to accomplish optimal care and protection of the children in these cases.
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- Child abuse, vitamin D deficiency, or what - for parents and defense attorneys - Cannell June 2015
- The Vitamin Deficiency Signs That Can Send You to Prison – Feb 2014
- Bone fractures in children requiring surgery were 55X more likely with low vitamin D – June 2015
- 75 percent of unexplained sudden infant deaths had inadequate level of vitamin D – April 2013
- Infant positional skull deformation 7X more frequent if less than 400 IU of vitamin D – Nov 2014
- Post-mortem analysis of children in London Hospital – only 1 child had adequate level of vitamin D – July 2014
- Rickets reduced 60X - lessons learned by Turkey 2011