TY - JOUR PY - 2023// TI - Bone pathology mimicking non-accidental injury in a child - bewildered by bones, case report and review of the literature JO - International journal of surgery case reports A1 - Fernando, U. P. M. A1 - Pranavan, S. A1 - Hameed, S. A1 - Munasinghe, B. M. SP - e108393 EP - e108393 VL - 108 IS - N2 - 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.

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.

Language: en

LA - en SN - 2210-2612 UR - http://dx.doi.org/10.1016/j.ijscr.2023.108393 ID - ref1 ER -