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NCJ Number: 228643 Find in a Library
Title: Non-Accidental Injury and Bone Fragility Disorders: The Need for a Multidisciplinary Perspective
Journal: Child Abuse Review  Volume:18  Issue:5  Dated:September-October 2009  Pages:346-353
Author(s): Clare Onyon; Leigh Rabb; Geoff Debelle
Date Published: October 2009
Page Count: 8
Type: Issue Overview
Format: Article
Language: English
Country: United States of America
Annotation: This paper discusses the difficulty in diagnosing accidental and non-accidental injury in children with possible bone fragility disorder and the need for a multidisciplinary case review.
Abstract: In cases of suspected non-accidental injury, the possibility of brittle bones due to osteogenesis imperfecta (OI) may arise. OI is an inherited disorder due to gene mutation. A case is presented of a child who was initially diagnosed with OI following a skull fracture. However, the child later presented with multiple fractures and soft tissue injuries which were considered to be due to non-accidental injury. Where a bone fragility disorder has been suspected in a child, it can be difficult to distinguish between accidental and non-accidental injury. Multidisciplinary case review, taking into account the social history and any concerns professionals have about the family, is considered invaluable in informing a difficult diagnosis. It is imperative that all professionals draw on their own knowledge and expertise to appropriately challenge diagnoses without causing conflict. Professionals should be willing to challenge the exclusion of non-accidental injury when such exclusion is not evidence-based. For the future welfare of the child and family, it is important that the diagnosis be correct. Figures, tables, and references
Main Term(s): Child abuse investigations
Index Term(s): Accident investigation; Injury investigations; Medical evaluation; Negligence; Physician child abuse neglect role
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