Definition of physical child abuse is used to refer to a casualty injured by the caregiver. Health-care professionals providing medical care are responsible for detecting and reporting child abuse. A 7-month-old pediatric patient was referred to us from an outer center with the diagnosis of multiple fractures (14 different bones in 16 different anatomical regions). Skeletal pathologies were evaluated after exclusion of head and abdomen injuries in the emergency department. This child with fractures in 16 different anatomical regions of 14 different bones in her body is alive and does not have an intracranial injury. The number of fractures was too high to be explained even by major trauma. If child abuse is suspected, relevant authorities should be notified immediately. Medical records must be meticulously done as they can contribute to the possible court process. Our case, which contains almost all of the history and physical examination and risk factors of typical child abuse, is instructive enough to guide any health-care professional who may encounter this issue. The threshold in deciding on reporting of child abuse should be low. Every suspicious case should be reported in order to prevent repetitive abuse.
Case Rep Orthop Res 2021;4:185–191

中文翻译：

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非意外创伤导致 7 个月大儿童的 16 次骨折

身体虐待儿童的定义是指被看护人伤害的伤亡人员。提供医疗服务的卫生保健专业人员负责发现和报告虐待儿童的情况。一名 7 个月大的儿科患者从外中心转诊给我们，诊断为多发性骨折（16 个不同解剖区域的 14 块不同骨骼）。在急诊科排除头部和腹部损伤后评估骨骼病理。这个孩子全身 14 块不同骨骼的 16 个不同解剖部位骨折，目前还活着，没有颅内损伤。骨折的数量太高，甚至无法用重大创伤来解释。如果怀疑虐待儿童，应立即通知有关部门。医疗记录必须精心制作，因为它们可以为可能的法庭程序做出贡献。我们的案例几乎包含了典型虐待儿童的所有病史、体格检查和风险因素，足以指导任何可能遇到此问题的医疗保健专业人员。决定报告虐待儿童的门槛应该很低。应报告每个可疑案例，以防止重复滥用。
案例代表 Orthop Res 2021；4:185–191