Of all children reported to child protective services for suspected maltreatment in any form, the percentage of substantiated cases of actual physical abuse is quite small. There are a number of dermatological or radiologically demonstrable musculoskeletal lesions that have been, or could be mistaken for, intentional physical abuse by the inexperie
The Concept of Child Abuse in Historical Perspective. Trauma�Inflicted or Accidental? Incidence of Inflicted Trauma. Risk Factors. Suspicion, Substantiation, or Exclusion of Inflicted Trauma. Musculoskeletal Trauma in Infants and Children: Accidental or Inflicted? Part 1: Introduction. Part 2: Radiological Findings in Nonaccidental Trauma. Radiological Mimickers of Physical Child Abuse. Metaphyseal Lesions. Fractures and Bowing. Bowing Deformities. Congenital Indifference to Pain (Hereditary Sensory in Autonomic Neuropathy). False Fractures. Normal Fractures. Dislocations�Nontraumatic, Noninfectious, Nonabusive. Periosteal New Bone Formation. The Spine. The Skull. Dermatological Signs of Physical Abuse. Bruises. Abrasions and Lacerations. Bite Marks. Hair Pulling. Burns. Neither/Nor Lesions. Cultural Remedies, Folk Medicine. Dermatological Mimics of Physical Abuse. Mimics of Bruises. Mimics of Other Pattern Injuries. Burns.