受虐婴儿的影像学评估.pdfVIP

Denise De Las Nueces, HMS IV Gillian Lieberman, MD July 2006 Radiologic Assessment of Child Abuse Radiologic Assessment of Child Abuse in Infants: A Focus on Plain Film in Infants: A Focus on Plain Film Analysis of Highly Specific Fractures Analysis of Highly Specific Fractures Denise De Las Nueces, Harvard Medical School Year IV Denise De Las Nueces, Harvard Medical School Year IV Gillian Lieberman, MD Gillian Lieberman, MD Denise De Las Nueces, HMS IV Gillian Lieberman, MD General Overview General Overview Introduction Introduction Case Presentation Case Presentation Menu of tests Menu of tests Diagnostic Pediatric Fractures Diagnostic Pediatric Fractures DDx of Suspected Child Abuse DDx of Suspected Child Abuse Summary Summary 2 2 Denise De Las Nueces, HMS IV Gillian Lieberman, MD General Overview of Child Abuse General Overview of Child Abuse About 2 million children in the US are harmed or maltreated About 2 million children in the US are harmed or maltreated by their caretakers every year. by their caretakers every year. In 2002, roughly 1,400 children died at the hands of their In 2002, roughly 1,400 children died at the hands of their caretakers. caretakers. Of these fatalities, 30% were as a consequence of physical Of these fatalities, 30% were as a consequence of physical abuse. abuse. Infants and young children are at greatest risk: an estimated Infants and young children are at greatest risk: an estimated 76% of these fatalities occurred in children under the age of 3 76% of these fatalities occurr