Fractures are a common finding in children and it is estimated that 2.1% of all children will suffer at least one fracture before the age of 16. With young children in particular, the question may arise if this is related to child abuse. The aim of this book is to help physicians involved in child abuse cases to interpret radiological findings in light of the forensic circumstances under which they occurred. The authors present up-to-date literature related to the mechanisms underlying non-accidental cases of trauma. In this book not only the radiological findings in child-abuse are discussed, but more importantly, these findings are analyzed from a forensic perspective. Careful attention is paid to evidence regarding reported trauma mechanisms and their clinical outcome; for example, can a fall from a couch result in a femoral fracture, and if not, where is the supporting evidence?

This excellently illustrated book, now in a revised and extended second edition, not only describes the radiological findings which can be found in child abuse cases but also places them in a forensic perspective – a crucial aspect often underrepresented in radiological books. The aim is to enable physicians involved in non-accidental trauma cases to interpret radiological findings in light of the forensic circumstances under which these findings have arisen. Accordingly, the book will assist in determining whether a fracture is accidental or the result of abuse. Fractures are addressed not only by anatomical location but also by trauma mechanism, with careful attention to evidence regarding the reported mechanism and the clinical outcome. Drawing on the latest literature, the authors explain whether a particular form of trauma can cause a particular injury and identify where the reader can find the supporting evidence. The book will be essential reading and a superb reference for all who are involved in the diagnosis of child abuse, including pediatricians, emergency room physicians, and radiologists. It will also be a valuable resource for legal medicine physicians, lawyers, and judges.

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.

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.

An Indispensable Resource on Advanced Methods of Analysis of Human Skeletal and Dental Remains in Archaeological and Forensic Contexts Now in its third edition, Biological Anthropology of the Human Skeleton has become a key reference for bioarchaeologists, human osteologists, and paleopathologists throughout the world. It builds upon basic skills to provide the foundation for advanced scientific analyses of human skeletal remains in cultural, archaeological, and theoretical contexts. This new edition features updated coverage of topics including histomorphometry, dental morphology, stable isotope methods, and ancient DNA, as well as a number of new chapters on paleopathology. It also covers bioarchaeological ethics, taphonomy and the nature of archaeological assemblages, biomechanical analyses of archaeological human skeletons, and more. Fully updated and revised with new material written by leading researchers in the field Includes many case studies to demonstrate application of methods of analysis Offers valuable information on contexts, methods, applications, promises, and pitfalls Covering the latest advanced methods and techniques for analyzing skeletal and dental remains from archaeological discoveries, Biological Anthropology of the Human Skeleton is a trusted text for advanced undergraduates, graduate students, and professionals in human osteology, bioarchaeology, and paleopathology.

Juvenile homicide and fatal maltreatment remain serious and pervasive problems in the developed world and especially in the United States, where in 2005 some 1,500 children died from neglect and physical abuse. Alarming statistics such as this, as well as an upsurge in the media attention paid to all things forensic, underscore the pressing need for the utmost rigor in the scientific investigation of child abuse cases. This well timed volume is a response to the climate of public and press interest in such inquiries, where the forensic aspects of the casework generate an enormous amount of attention. The contributions cover a wide range of topics and explore many of the finer details of investigations into juvenile fatalities suspected of being abuse-related. The chapters reflect both the multi-disciplinary nature of such investigations, and also the need for law enforcement professionals to take a rounded, holistic approach to the casework involved. The motivational factors that lead many professionals enter this arena of investigation are, of course, personal and individual. However, at the core of their commitment and their work is a shared need for justice, plain and simple. Victim advocacy and protecting the rights of children, both living and deceased, remains a key impetus for those professionals who specialize in child abuse research. At the heart of this book is the aim of providing both a vital resource for investigators, and a purposeful voice for the young victims of abuse, unable as they are to stand up and speak for themselves.