Skeletal Atlas Of Child Abuse

This illustrated guide to the role of the forensic anthropologist in investigating child abuse is an essential resource in one of the most contentious areas of forensic pathology. Not only does it supply a review of the literature in this field, but it illustrates the material with photographs from real cases investigated by the Harris County Institute of Forensic Sciences, which serves a population of four million people. Broken down into body regions and skeletal elements for ease of reference, the atlas facilitates the vital work performed by forensic anthropologists, who bring to the autopsy table a store of specialist knowledge that can turn a case. Despite the frequency of child fatalities (in America, 2.3per 100,000) attributed to physical abuse, merely recognizing the offense is a major forensic challenge. The tell-tale signatures of non-accidental injury can be very subtle, making it difficult to differentiate between accidental and non-accidental injury. Yet successful adjudication of a child abuse case often rests on the correct interpretation of skeletal injury. In this volume the authors guide the reader through published data regarding the mechanics and interpretation of injuries,including the agencies they indicate. The material includes discussion of the limitations faced in interpreting some injuries, where making a judgment on cause is tricky. In addition, a chapter on natural diseases affecting the bones provides a good overview of several conditions that are often invoked as 'mimics' of child abuse. Finally, this publication evinces the value of collaboration between the pathologist and the anthropologist.

The radiological abnormalities associated with suspected child abuse can be extremely subtle. If missed, a baby or child may be returned to an environment where episodes of abuse may escalate. Similarly, a wrongful diagnosis can lead to an infant being removed from loving carers. This atlas will be of particular use to radiologists (both in training and at consultant level), and also to other doctors who may be first in line to encounter suspected abuse, including paediatricians, accident and emergency doctors, orthopaedic surgeons and pathologists. It uses numerous radiographs from Professor Hall's collection amassed over three decades, including many examples of the sorts of difficult cases and normal variants that are found in day to day practice. It offers assistance with the initial interpretation of what are often difficult and subtle findings in the emotionally charged environment that frequently exists when child abuse is suspected.

The radiological abnormalities associated with suspected child abuse can be extremely subtle. If missed, a baby or child may be returned to an environment where episodes of abuse may escalate. Similarly, a wrongful diagnosis can lead to an infant being removed from loving carers. This atlas will be of particular use to radiologists (both in training and at consultant level), and also to other doctors who may be first in line to encounter suspected abuse, including paediatricians, accident and emergency doctors, orthopaedic surgeons and pathologists. It uses numerous radiographs from Professor Hall's collection amassed over three decades, including many examples of the sorts of difficult cases and normal variants that are found in day to day practice. It offers assistance with the initial interpretation of what are often difficult and subtle findings in the emotionally charged environment that frequently exists when child abuse is suspected.

Post-mortem computed tomography (PMCT) is increasingly used in forensic pathology practice in many jurisdictions. Such imaging has expanded the capacity to evaluate skeletal trauma improving the visualisation, documentation and presentation of forensic findings. Typically when deceased persons are located and exhibit evidence of trauma, forensic pathologist, anthropologists and radiologists base their interpretations of the mechanism of trauma on their experience and understanding of the biomechanics of fractures as well as recognisable patterns of injury. In order to augment this process, An Atlas of Forensic Skeletal Trauma presents a range of de-identified adult and child skeletal trauma cases that occur in medico-legal contexts where the cause of death and mechanism of trauma are recorded. An Atlas of Forensic Skeletal Trauma includes comprehensive photographs and PMCT images as well as descriptive text. Presents a valuable guide to the interpretation of skeletal trauma for practitioners and students of forensic anthropology, pathology and radiology Provides coverage of skeletal trauma cases resulting from high and low velocity projectiles, low energy blunt force (e.g., assaults involving various implements, hangings, strangulations, falls), high energy blunt force (e.g., motor vehicle and aviation incidents), and more Includes case studies with written and visual descriptions, discussions and up-to-date literature review

This full-color new edition combines radiographic imaging of abuse with pathologic correlates side-by-side. Essential for radiologists, pediatricians and forensic pathologists.

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 inexperienced or untrained observer. Child Abuse and Its Mimics in Skin and Bone illustrates the classic manifestations of physical abuse by dermatological and radiological examination as a standard against which the mimickers of physical abuse can be compared. Beginning with a historical perspective on child abuse, the book explores manifestations of superficial and musculoskeletal trauma in children. It examines conditions often mistaken for child abuse, ranging from rubella to leukemia and bowing deformities to vitamin A intoxication, as well as a plethora of dermatological conditions that can mimic signs of physical abuse. Designed for a broad spectrum of individuals who may first encounter a possibly abused child, the book presents hundreds of photos—many in color—and examples collected by the authors over their years of experience in their respective fields. Where appropriate, the authors provide pertinent historical, physical, and laboratory information in support of the diagnosis. With the combined insight of top experts in forensic radiology and dermatology, this volume enables clinicians and others confronted with cases involving these conditions to avoid a rush to judgment that could wreak havoc in a family and quite possibly delay needed treatment for an actual medical condition.