JOURNAL OF THE CZECH PEDIATRIC SOCIETY AND THE SLOVAK PEDIATRIC SOCIETY

Čes-slov Pediat 2024, 79(3):156-160 | DOI: 10.55095/CSPediatrie2024/009

The use of the skeletal survey in suspected physical child abuse - a case report

Ivan Peychl1, Lada Vilkusová2, Ladislava Mašková2, Eliška Popelová3, Jan Škvařil4, Romana Pospíšilová5, Klára Navrátilová1, Jana Vašíčková1, Theodora Voráčková1, Martin Mašek2
1 Pediatrické oddělení, FN Bulovka, Praha
2 Radiodiagnostické oddělení, FN Bulovka, Praha
3 Klinika zobrazovacích metod, 2. lékařská fakulta, Univerzita Karlova a FN Motol, Praha
4 Oddělení dětské chirurgie, FN Bulovka, Praha
5 Dětská ordinace Pediatrie RP s.r.o., Roudnice nad Labem

A six month old girl with limited left leg movement and left foot and left lower leg edema was admitted to the pediatric department. There was no history of trauma. Plain radiographs showed a left tibial fractures. Due to suspected abusive origin of the injury, the girl underwent a thorough examination, including a full initial and follow-up skeletal survey. Multiple fractures were detected

, including a clinically occult right leg fracture. Healing of all injuries was uncomplicated and required conservative approach only. The case was referred to the police and Child

Protection Services for further management.

Keywords: child physical abuse, fractures, radiological skeletal survey, follow-up skeletal survey

Received: November 8, 2023; Revised: January 3, 2024; Accepted: January 8, 2024; Published: May 1, 2024  Show citation

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Peychl I, Vilkusová L, Mašková L, Popelová E, Škvařil J, Pospíšilová R, et al.. The use of the skeletal survey in suspected physical child abuse - a case report. Ces-slov Pediat. 2024;79(3):156-160. doi: 10.55095/CSPediatrie2024/009.
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