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Abusive head trauma: Canadian and global perspectives.

Pediatr Radiol

May 2021

Department of Medical Imaging, University of Toronto, Toronto, ON, Canada.

Canada has come a long way since Dr. C. Henry Kempe first described battered-child syndrome in 1962.

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Introduction: Animal bites are a less common cause of pediatric injury. They are rarely associated with fractures in toddlers. Child abuse is the most closely related differential diagnosis in a child presenting with animal bite and it is a serious threat to both mental health and physical well-being of pediatric population.

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Transphyseal separation of the distal humerus is a rare injury. Trauma, battered child syndrome and birth-related injuries are amongst the most common causes of the injury. This case report illustrates the importance of applying proper imaging and analysis to detect the injury.

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Background: Fractures are one of the most common presentations of child abuse second only to soft tissue damage, with ∼60% of fractures being femur, humerus or tibia fractures. Although studies have shown increased health care costs associated with nonaccidental trauma (NAT), there is little data regarding the cost of NAT-associated fractures compared with accidental trauma (AT) related fractures. The purpose of this study was to consider the economic burden of NAT related femoral fractures compared with AT femoral fractures.

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