Child Abuse - Everything You Need To Know - Dr. Nabil Ebraheim
Dr. Ebraheim’s educational animated video teaches about all the signs and symptoms of child abuse.
Child abuse most often occurs under 3 year of age, and if it is not recognized and reported, repeated abuse may occur in 40% of the cases. Death can occur in up to 5%
Risk factors for child abuse:
•First child
•Single parent
•Stepchild
•Disabled child
•Parents were abused
Suspect child abuse if:
•Fracture femur before the walking age ( 1 year) is suspicious. The most common orthopedic injury associated with child abuse is femur fractures.
•Multiple fractures at different stages of healing are seen in a skeletal survey. Stages of healing:
1-hematoma,
2-inflammation
3-soft callus
4-hard callus
5-remodeling .
Callus and periosteal reaction is seen.
•Unwitnessed spiral fractures. Spiral fractures are not a good criteria because most of them are accidental.
Other signs include:
•Multiple soft tissue bruising, skin lesion is the most common, bone frac
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