The Orthobullets Podcast Foundations | Pediatrics | Pediatric Abuse
Jan 1, 2026
Dive into the critical topic of pediatric abuse, exploring its alarming prevalence among young children, especially those under five. Discover key red flags in medical history and inconsistency in injury reports that could indicate abuse. The discussion highlights highly specific fracture patterns and the importance of thorough imaging for diagnosis. Learn about the legal obligations for reporting and the multidisciplinary approach required for managing such cases effectively. Stay informed with insights on non-accidental trauma predictors and necessary evaluations!
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High-Risk Age Groups
- Pediatric abuse is the second leading cause of death in children and a major source of fractures in infants.
- Fifty percent of fractures in children under one year are attributable to abuse, highlighting high-risk age groups.
Recognize Highly Specific Fractures
- Suspect abuse when injuries are inconsistent, delayed, or involve highly specific fractures like metaphyseal corner lesions.
- Treat these findings as red flags and escalate evaluation and protective actions promptly.
Mechanics Of Metaphyseal Injuries
- Classic metaphyseal lesions arise from violent traction or torsional forces and are highly specific for abuse.
- Corner and bucket-handle fractures reflect avulsion at the metaphysis and strongly suggest non-accidental trauma.