
@article{ref1,
title="Bone pathology mimicking non-accidental injury in a child - bewildered by bones, case report and review of the literature",
journal="International journal of surgery case reports",
year="2023",
author="Fernando, U. P. M. and Pranavan, S. and Hameed, S. and Munasinghe, B. M.",
volume="108",
number="",
pages="e108393-e108393",
abstract="INTRODUCTION AND IMPORTANCE: Physical abuse of children is criminal conduct in the purview of medico-legal sciences and the confirmative diagnosis of 'child abuse' is imperative for further legal proceedings. Clinicians play a pivotal role in the protection of children by recognizing and reporting such cases and treating the victims of abuse. PRESENTATION OF CASE: To the best of our knowledge, we present the first case report in literature where osteofibrous dysplasia resulted in a pathological fracture in a 10-month-old South-Asian child which resembled the picture of child abuse. CLINICAL DISCUSSION: The challenges faced by clinicians in the process of analysis of presumed child abuse are numerous and careful formulation and elimination of medical conditions which may mimic non-accidental injury (NAI) is a must, prior to making an incontrovertible diagnosis. <br><br>CONCLUSION: The telltale signs of NAI such as soft tissue injuries and fractures in a victimized child should always be evaluated cautiously with the intent of excluding pathologies that may mimic them and the evidence in this regard is seldom in literature.<p /> <p>Language: en</p>",
language="en",
issn="2210-2612",
doi="10.1016/j.ijscr.2023.108393",
url="http://dx.doi.org/10.1016/j.ijscr.2023.108393"
}