1. Kocher MS, Kasser JR. Orthopaedic aspects of child abuse. J Am Acad Orthop Surg 2000;8:10–20.
2. Johnson CF. Inflicted injury versus accidental injury. Pediatr Clin North Am 1990;37:791–814.
3. Texas Department of Health. Children’s Health and Safety Initiative: Building Blocks for Healthy Children. Texas Department of Health 1996:24.
5. Texas Medical Association Foundation. A Report by the Blue Ribbon Panel on Family Violence. Texas Medical Association Foundation.
6. Forjuoh SN. Child maltreatment related injuries: incidence, hospital charges, and correlates of hospitalization. Child Abuse Negl 2000;24:1019–1025.
7. Oliver JE. Intergenerational transmission of child abuse: rates, research, and clinical implications. Am J Psychiatry 1993;150:1315–1324.
8. Akbarnia BA, Akbarnia NO. The role of the orthopedist in child abuse and neglect. Orthop Clin North Am 1976;7:733–742.
9. Schmitt BD. Child abuse. In: Green M, Haggerty RJ, eds. Pediatrics. Philadelphia: WB Saunders; 1984:111.
10. Caffey J. Multiple fractures in long bones of infants suffering from chronic subdural hematoma. Am J Roentgenol 1946;56:163–173.
11. Silverman FN. The roentgen manifestations of unrecognized skeletal trauma in infants. Am J Roentgenol 1953;69:413–427.
12. Altman DH, Smith RL. Unrecognized trauma in infants and children. J Bone Joint Surg Am 1960;42:407–413.
13. Kempe CH, Silberman FN, Steele BF, et al. The battered-child syndrome. JAMA 1962;181:105–112.
14. Caffey J. The whiplash shaken infant syndrome: manual shaking by the extremities with whiplash-induced intracranial and intraocular bleedings, linked with residual permanent brain damage and mental retardation. Pediatrics 1974;54:396–403.
15. Dubowitz H, Bross DC. The pediatrician’s documentation of child maltreatment. Am J Dis Child 1992;146:596–599.
16. Zuravin SJ. Unplanned childbearing and family size: their relationship to child neglect and abuse. Fam Planning Perspect 1991;23:155–161.
17. Akbarnia BA. The role of the orthopaedic surgeon in child abuse. In: Morrissy RM, ed. Lovell and Winter’s pediatric Orthopaedics. Philadelphia: JB Lippincott; 1996:1315.
18. Herndon WA. Child abuse in a military population. J Pediatr Orthop 1983;3:73–76.
19. O’Neill JA Jr, Meacham WF, Griffin PP, et al. Patterns in injury in battered child syndrome. J Trauma 1973;13:332–339.
20. Green FC. Child abuse and neglect: a priority problem for the private physician. Pediatr Clin North Am 1975;22:329–339.
21. Crouch JL, Behl LE. Relationships among parental beliefs in corporal punishment, reported stress, and physical child abuse potential. Child Abuse Negl 2001;25:413–419.
22. Helfer RE. The epidemiology of child abuse and neglect. Pediatr Ann 1984;13:745–751.
23. Wasserman DR, Leventhal JM. Maltreatment of children born to cocaine-dependent mothers. Am J Dis Child 1993;147:1324–1328.
24. Siegel CD, Graves P, Maloney K, et al. Mortality from intentional and unintentional injury among infants of young mothers in Colorado, 1986 to 1992. Arch Pediatr Adolesc Med 1996;150:1077–1083.
25. Campbell JC. Child abuse and wife abuse. Md Med J 1994;43:349–350.
26. Wolfner GD, Gelles RJ. A profile of violence toward children: a national study. Child Abuse Negl 1993;17:197–212.
27. Sidebotham P, Golding J. The ALSPAC Study Team: child maltreatment in the “Children of the Nineties”=ma longitudinal study of parental risk factors. Child Abuse Negl 2001;25:1177–1200.
28. Galleno H, Oppenheim WL. The battered child syndrome revisited. Clin Orthop 1982;62:11–19.
29. Beals RK, Tufts E. Fractured femur in infancy: the role of child abuse. J Pediatr Orthop 1983;3:583–586.
30. Desilva S, Oates RK. Child homicide: the extreme of child abuse. Med J Aust 1993;158:300–301.
31. Kleinman PK, Marks SC, Adams VI, et al. Factors affecting visualization of posterior rib fractures in abused infants. Am J Roentgenol 1988;150:635–638.
32. Bruce DA, Schut L, Bruno LA, et al. Outcome following severe head injuries in children. J Neurosurg 1978;48:679–688.
33. Emery JL. Child abuse, sudden infant death syndrome, and unexpected infant death. Am J Dis Child 1993;147:1097–1100.
34. Samuels MP, McClaughlin W, Jacobson RR, et al. Fourteen cases of imposed upper airway obstruction. Arch Dis Child 1992;67:162–170.
35. Benedict RB, Wulff LM, Hall BJ. Reported maltreatment in children with multiple disabilities. Child Abuse Negl 1990;14:207–217.
36. Asher R. Munchausen syndrome. Lancet 1951;1:339.
37. Mehl AL, Coble L, Johnson S. Munchausen syndrome by proxy: a family affair. Child Abuse Negl 1990;14:577–585.
38. Wenk, RE. Molecular evidence of Munchausen syndrome by proxy. Arch Pathol Lab Med 2003;127:e36–e37.
39. Baskin DE, Stein F, Coats DK, et al. Recurrent conjunctivitis as a presentation of Munchausen syndrome by proxy. Ophthalmology 2003;110:1582–1584.
40. Bartsh C, Risse M, Schutz H, et al. Munchausen syndrome by proxy (MSBP): an extreme form of child abuse with a special forensic challenge. Forensic Sci Int 2003;137:147–151.
41. Meadow SR. Non-accidental salt poisoning. Arch Dis Child 1993;68:448–452.
42. Babcock J, Hartman K, Pedersen A, et al. Rodenticide-induced coagulopathy in a young child: a case of Munchausen syndrome by proxy. Am J Pediatr Hematol Oncol 1993;15:126–130.
43. Goss PW, McDougall PN. Munchausen syndrome by proxy: a cause of preterm delivery. Med J Aust 1992;157:814–817.
44. Berkowitz CD. Pediatric abuse: new patterns of injury. Emerg Med Clin North Am 1995;13:321–341.
45. Rosenberg DA. Web of deceit: a literature review of Munchausen syndrome by proxy. Child Abuse Negl 1987;11:547–563.
46. Meadow R. Munchausen syndrome by proxy abuse perpetuated by men. Arch Dis Child 1998;78:210–216.
47. Davis P, McClure RJ, Rolfe K, et al. Procedures, placement, and risks of further abuse after Munchausen’s by proxy, non-accidental poisoning, and non-accidental suffocation. Arch Dis Child 1998;78:217–221.
48. Hall DE, Eubanks L, Swarnalatha M, et al. Evaluation of covert surveillance in the diagnosis of Munchausen syndrome by proxy: lessons from 41 cases. Pediatrics 2000;105:1305–1312.
49. Krugman RD. Recognition of sexual abuse in children. Pediatr Rev 1986;8:25–30.
50. Hobbs CJ, Wynne JM. The sexually abused battered child. Arch Dis Child 1990;65:423–427.
51. Wissow LS. Child abuse and neglect. N Engl J Med 1995;332:1425–1431.
52. Sullivan PM, Brookhouser PE, Scanlan JM, et al. Patterns of physical and sexual abuse of communicatively handicapped children. Ann Otol Rhinol Laryngol 1991;100:188–427.
53. Young WC. Sadistic ritual abuse: an overview in detection and management. Primary Care 1993;20:447–458.
54. Alexander RC, Surrell JA, Cohle SD. Microwave oven burns to children: an unusual manifestation of child abuse. Pediatrics 1987;79:255–260.
55. Reece RM. Unusual manifestations of child abuse. Pediatr Clin North Am 1990;37:905–912.
56. Black J, Zenel JA. Child abuse by intentional iron poisoning presenting as shock and persistent acidosis. Pediatrics 2003;111:197–199.
57. Dubowitz H, Black M. Teaching pediatric residents about child maltreatment. Dev Behav Pediatr 1991;12:305–307.
58. Limbos MAP. Documentation of child abuse: how far have we come? Pediatrics 1998;102:53–58.
59. Bar-on ME, Zanga JR. Child abuse: a model for use of structured clinical forms. Pediatrics 1996;81:17–24.
60. Palusci VJ, Hicks RA, Vandervort FE. “You are hereby commanded to appear”: pediatrician subpoena and court appearance in child maltreatment. Pediatrics 2001;107:1427–1431.
61. Hanes M, Mc Aufliff T. Preparation for child abuse litigation: perspectives of the prosecutor and the pediatrician. Pediatr Ann 1977;26:288–295.
62. Orebach Y, Lamb ME. Enhancing children’s narratives in investigative interviews. Child Abuse Negl 2000;24:1631–1648.
63. Kravitz H, Driessen G, Gomberg R, et al. Accidental falls from elevated surfaces in infants from birth to one year of age. Pediatrics 1969;44:869–876.
64. Helfer RE, Slovis TL, Black M. Injuries resulting when small children fall out of bed. Pediatrics 1977;60:533–535.
65. Kogutt MS, Swischuk LE, Fagan CJ. Patterns of injury and significance of uncommon fractures in the battered child syndrome. Radiology 1974;121:143–149.
66. Hennrikus WL, Shaw BA, Gerardi JA. Injuries when children reportedly fall from a bed or a couch. Clin Orthop Rel Res 2003;407:148–151.
67. O’Connor JF, Cohen J. Dating fractures. In: Kleinman PK, ed. Diagnostic Imaging of Child Abuse. Baltimore: Williams & Wilkins; 1987:103.
68. McMahon P, Grossman W, Gaffney M, et al. Soft-tissue injury as an indication of child abuse. J Bone Joint Surg Am 1995;77:1179–1183.
69. Sugar NF, Taylor JA, Feldman KW. Bruises in infants and toddlers: those who don’t cruise rarely bruise. Puget Sound Pediatric Research Network. Arch Pediatr Adolesc Med 1999;153:399–403.
70. Carpenter RF, The prevalence and distribution of bruising in babies. Arch Dis Child 1999;80:363–366.
71. Robertson DM, Barbor P. Unusual injury? Recent injury in normal children and children with suspected non-accidental trauma. Br Med J 1982;285:1399–1401.
72. Labbe J, Caouette G. Recent skin injuries in normal children. Pediatrics 2001;108:271–276.
73. Johnson CF, Kaufman KL. The hand as a target organ in child abuse. Clin Pediatr 1990;29:66–72.
74. Sussman SJ. Skin manifestations of the battered-child syndrome. J Pediatr 1968;72:99–101.
75. Hyden PW, Gallagher TA. Child abuse intervention in the emergency room. Pediatr Clin North Am 1992;39:1053–1081.
76. Jessee SA, Rieger M. Physical abuse: a study of age-related variables among physically abused children. J Dent Child 1996;14:275–280.
77. Wilson FF. Estimation of age of continuous contusions in child abuse. Pediatrics 1977;60:750–752.
78. Langlois NEI, Gresham GA. The age of bruises: a review and study of the color changes with time. Forensic Sci Int 1991;50:227–238.
79. Stephenson T, Bialas Y. Estimation of the age of bruising, Arch Dis Child 1996;74:53–55.
80. Asnes RS. Buttock bruises = mongolian spot [Letter]. Pediatrics 1984;74:321.
81. Anh NT. “Pseudo-battered child” syndrome. JAMA 1976;236:2288.
82. Purdue GF, Hunt JL, Prescott PR. Child abuse by burning: an index of suspicion. J Trauma 1988;28:221–224.
83. Titus MO, Baxter AL, Starling SP. Accidental scald burn in sinks. Pediatrics 2003;111:E191–E194.
84. Renz BM, Sherman R. Abusive scald burns in infants and children: a prospective study. Am Surgeon 1993;59:329–334.
85. Heider TR, Priolo D, Hultman CS, et al. Eczema mimicking child abuse: a case of mistaken identity. J Burn Care Rehabil 2002;23:357–359.
86. Prescott PR. Hair dryer burns in children. Pediatrics 1990;86:692–697.
87. Frechette A, Rimsza ME. Stun gun injury: a new presentation of the battered child syndrome. Pediatrics 1992;89:898–901.
88. Feldman KW. Pseudoabusive burns in Asian refugees. Am J Dis Child 1984;138:768–769.
89. Schmitt BD, Gray JD, Britton HL. Car seat burns in infants: avoiding confusion with inflicted burns. Pediatrics 1978;62:607–609.
90. Reece RM, Sege R. Childhood head injuries: accidental or inflicted? Arch Pediatr Adolesc Med 2000;154:11–15.
91. Case ME, Graham MA, Handy TC, et al. Position paper on fatal abusive head injuries in infants and young children. Am J Forensic Med Pathol 2001;22:112–122.
92. American Academy of Pediatrics Section on Radiology. Diagnostic imaging of child abuse. Pediatrics 2000;105:1345–1348.
93. Rubin DM, Christian CW, Bilaniuk LT, et al. Occult head injury in high-risk abused children. Pediatrics 2003;111:1382–1386.
94. Duhaime AC, Gennarelli TA, Thibault LE, et al. The shaken baby syndrome: a clinical, pathological, and biomechanical study. J Neurosurg 1987;66:409–415.
95. Pariziel PM, Ceulemans B, Laridon A, et al. Cortical hypoxic-ischemic brain damage in shake-baby (shaken impact) syndrome: value of diffusion-weighted MRI. Pediatr Radiol 2003;33:868–871.
96. Suh DY, Davis PC, Hopkins KL. Nonaccidental pediatric head injury: diffusion-weighted imaging findings. Neurosurgery 2001;49:309–320.
96a. Jaspan T, Narborough G, Punt JAG, et al. Cerebral contusion tears as a marker of child abuse: detection by cranial sonography. Pediatr Radiol 1992;22:237–245.
97. Jaspan T, Griffiths PD, McConachie NS, et al. Neuroimaging for non-accidental head injury in childhood: a proposed protocol. Clin Radiol 2003;58:44–53.
98. Cho D-R, Wang Y-C, Chi C-S. Decompression craniotomy for acute shaken/impact baby syndrome. Pediatr Neurosurg 1995;23:192–198.
99. Eller AW, Brown GC. Retinal disorders of childhood. Pediatr Clin North Am 1983;301:87–101.
100. Hanigan WC, Peterson RA, Njus G. Tin ear syndrome: rotational acceleration in pediatric head injuries. Pediatrics 1987;80:618–622.
101. Akbarnia BA. Pediatric spine fractures. Orthop Clin North Am 1999;30:521–536.
102. Ghatan S, Ellenbogen RG. Pediatric spine and spinal cord injury after inflicted trauma. Neurosurg Clin North Am 2002;13:227–233.
103. Cullen JC. Spinal lesions in battered babies. J Bone Joint Surg Br 1975;57:364–366.
104. Trokel M, DiScala C, Terrin NC, et al. Blunt abdominal injury in the young pediatric patient: child abuse and patient outcomes. Child Maltreat 2004;9:111–117.
105. Touloukian RJ. Abdominal visceral injuries in battered children. Pediatrics 1968;42:642–646.
106. Tracy T Jr, O’Connor TP, Weber TR: Battered children with duodenal avulsion and transection. Am Surgeon 1993;59:342–345.
107. Coant PN, Kornberg AE, Brody AS, et al. Markers for occult liver injury in cases of physical abuse in children. Pediatrics 1992;89:274–278.
108. Howard JL, Barron BJ, Smith GG. Bone scintigraphy in the evaluation of extraskeletal injuries from child abuse. Radiographics 1990;10:67–81.
109. Thogmartin JR, England D, Siebert Jr CF. Hepatic glycogen staining: applications in injury survival time and child abuse. Am J Forensic Med Pathol 2001;22:313–318.
110. Sinal SH. Sexual abuse of children and adolescents. South Med J 1994;87:1242–1258.
111. American Academy of Pediatrics. Guidelines for the evaluation of sexual abuse of children. Pediatrics 1991;87:254–260.
112. Ingram DM, Everett VD, Ingram DL. The relationship between the transverse hymenal orifice diameter by the separation technique and other possible markers of sexual abuse. Child Abuse and Negl 2001;25:1109–1120.
113. Kellog ND, Menard SW, Santos A. Genital anatomy in pregnant adolescents: “normal” does not mean “nothing happened.” Pediatrics 2004;113:e67–e69.
114. Cantwell HB. Vaginal inspection as it relates to child sexual abuse in girls under thirteen. Child Abuse Negl 1983;7:171–176.
115. Berenson AB, Heger AH, Hayes JM, et al. Appearance of the hymen in prepubescent girls. Pediatrics 1992;89:387–394.
116. Bays J, Chadwick D. Medical diagnosis of the sexually abused child. Child Abuse Negl 1993;17:91–110.
117. Dalton HJ, Slovis T, Helfer RE, et al. Undiagnosed abuse in children younger than 3 years with femoral fracture. Am J Dis Child 1990;140:875–878.
118. Leventhal JM, Thomas SA, Rosenfield NS, et al. Fractures in young children: distinguishing child abuse from unintentional injuries. Am J Dis Child 1993;147:87–92.
119. Adelman, RD, Fink RA, Rohn RD et al. Child abuse in an infant presenting as unexplained acute systemic hypertension. Pediatr Nephr 200;14:811–812.
120. Ander WA. The significance of femoral fractures in children. Ann Emerg Med 1982;11:174–177.
121. Thomas SA, Rosenfield NS, Leventhal JM, et al. Long-bone fractures in young children: distinguishing accidental injuries from child abuse. Pediatrics 1991;88:1–476.
122. American Academy of Pediatrics: Section on Child Abuse and Neglect. A Guide to References and Resources in Child Abuse and Neglect. Elk Grove Village, IL: American Academy of Pediatrics; 1994:107–190.
123. Kleinman PK, Spevak MR. Variations in acromial ossification simulating infant abuse in victims of sudden infant death syndrome. Radiology 1991;180:185–187.
124. Kleinman PK. Diagnostic Imaging of Child Abuse, 2nd ed. St. Louis: Mosby; 1998.
125. Hechter S, Huyer D, Manson D. Sternal fractures as a manifestation of abusive injury in children. Pediatr Radiol 2002;32:902–906.
126. Merter LDF, Radkowski MA, Leonidas JC. The abused child: a radiological reappraisal. Radiology 1983;146:377–381.
127. Nimkin K, Spevak MR, Kleinman PK. Fractures of the hands and feet in child abuse: imaging and pathological features. Radiology 1997;203:233–236.
128. King J, Diefendorf D, Apthorp J, et al. Analysis of 429 fractures in 189 battered children. J Pediatr Orthop 1988;8:585–589.
129. Akbarnia B, Torg JS, Kirkpatrick J et al: Manifestations of battered-child syndrome. J Bone Joint Surg Am 1974;56:1159–1166.
130. Loder RT, Bookout C. Fracture patterns in battered children. J Orthop Trauma 1991;5:428–433.
131. Pierce MC, Bertocci GE, Vogeley E, et al. Evaluating long bone fractures in children: a biomechanical approach with illustrative cases. Child Abuse Negl 2004;28:505–524.
132. Bertocci GE, Pierce MC, Deemer E, et al. Influence of fall height and impact surface on biomechanics of feet-first free falls in children. Injury 2004;35:417–424.
133. Bertocci GE, Pierce MC, Deemer E, et al. Using test dummy experiments to investigate pediatric injury risk in simulated short-distance falls. Arch Pediatr Adolesc Med 2003;157:480–486.
134. Bertocci GE, Pierce MC, Deemer E, et al. Computer simulation of stair falls to investigate scenarios in child abuse. Arch Pediatr Adolesc Med 2001;155:1008–1014.
135. Pierce MC, Bertocci GE, Janosky JE, et al. Femur fractures resulting from stair falls among children: an injury implausibility model. Pediatrics 2005;115:1712–1722.
136. McClelland CQ, Heiple KG. Fractures in the first year of life: a diagnostical dilemma? Am J Dis Child 1982;136:26–29.
137. Shaw BA, Murphy KM, Shaw A, et al. Humerus shaft fractures in young children: accident or abuse? J Pediatr Orthop 1997;17:293–297.
138. Merten DF, Carpenter BLM. Radiologic imaging of inflicted injury in the child abuse syndrome. Pediatr Clin North Am 1990;37:815–837.
139. Rex C, Kay PR. Features of femoral fractures in nonaccidental injury. J Pediatr Orthop 2000;20:411–413.
140. Scherl SA, Miller L, Lively N, et al. Accidental and nonaccidental femur fractures in children. Clin Orthop Relat Res 2000;376:96–105.
140a. Gross RH, Stanger M. Causative factors responsible for femoral shaft fractures in infants and young children. J Pediatr Orthop 1983;3:341–343.
141. Schwend RM, Werth C, Johnston A. Femur fractures in toddlers and young children: rarely from child abuse. J Pediatr Orthop 2000;20:475–481.
142. Blakemore LC, Loder RT, Hensinger RN. Role of intentional abuse in children one to five years old with isolated femoral shaft fractures. J Pediatr Orthop 1996;16:585–588.
143. Leonidas JC. Skeletal trauma in the child abuse syndrome. Pediatr Ann 1983;12:875–881.
144. Kleinman PK, Marks SC. Relationship of the subperiosteal bone collar to metaphyseal lesions in abused infants. J Bone Joint Surg Am 1995;77:1471–1476.
145. Kleinman PK, Marks SC, Blackbourne B. The metaphyseal lesion in abused infants: a radiologic-histopathologic study. Am J Roentgenol 1986;146:895–905.
146. Kleinman PK, Marks SC Jr, Spevak MR, et al. Extension of growth-plate cartilage into the metaphysis: a sign of healing fracture in abused infants. Am J Roentgenol 1991;156:775–779.
147. Osier LK, Marks SC Jr, Kleinman PK. Metaphyseal extensions of hypertrophied chondrocytes in abused infants indicate healing fractures. J Pediatr Orthop 1993;13:249–254.
148. Currarino G, Birch J G, Herring, JA. Developmental coax vara associated with spondylometaphyseal dysplasia (DCV/SMD): “SMD-Corner fracture type” DCV/SMD-CF) demonstrated inmost cases. Pediatr Radiol 2000;30:14–24.
149. Strouse PJ, Owings CL. Fractures of the first rib in child abuse. Radiology 1995;197:763–765.
150. Kleinman PK, Nimkin K, Spevak MR, et al. Follow-up skeletal surveys in suspected child abuse. Am J Roentgenol 1996;167:893–896.
151. Smith FW, Gilday DL, Ash JM, et al. Unsuspected costo-vertebral fractures demonstrated by bone scanning in the child abuse syndrome. Pediatr Radiol 1980;10:103–106.
152. Kleinman PK, Marks SC Jr, Spevak MR, et al. Fractures of the rib head in abused infants. Radiology 1992;185:119–123.
153. Conway JJ, Collins M, Tanz RR, et al. The role of bone scintigraphy in detecting child abuse. Semin Nucl Med 1993;23:321–333.
154. Magid N, Glass T. A “hole in a rib” as a sign of child abuse. Pediatr Radiol 1990;20:334–336.
155. Smeets AJ, Robben SGF, Meradji M. Sonographically detected costo-chondral dislocation in an abused child. Pediatr Radiol 1990;20:566–567.
156. Ng SC, Hall CM. Costochondral junction fractures and intra-abdominal trauma in non-accidental injury (child abuse). Pediatr Radiol 1998;28:671–676.
157. Cumming WA. Neonatal skeletal fractures: birth trauma or child abuse? J Can Assoc Radiol 1979;30:30–33.
158. Betz P, Liebhardt E. Rib fractures in children: resuscitation or child abuse? Int J Legal Med 1994;106:215–218.
159. Baker AM, Craig BR, Lonnergan GJ. Homicidal commotion cordis: the final blow in a battered infant. Child Abuse Neglect 2003;27:125–130.
160. McEniery J, Hanson R, Grigor W, et al. Lung injury resulting from a nonaccidental crush injury to the chest. Pediatr Emerg Care 1991;7:166–168.
161. Nichols GR II, Corey TS, Davis GJ. Case report: non-fracture-associated fatal fat embolism in a case of child abuse. J Forensic Sci 1990;35:493–499.
162. Carty H. Case report: child abuse=mnecklace calcification=mof strangulation. Br J Radiol 1993;66:1186–1188.
163. Kleinman PK, Blackbourne BD, Marks SC, et al. Radiologic contributions to the investigation and prosecution of cases of fatal infant abuse. N Engl J Med 1989;320:507–511.
164. Kleinman PK, Marks SC, Richmond JM, et al. Inflicted skeletal injury: a postmortem radiologic–histopathologic study in 31 infants. Am J Roentgenol 1995;165:647–650.
165. Kleinman PK, Marks SC. Vertebral body fractures in child abuse: radiologic–histopathologic correlates. Invest Radiol 1992;27:715–722.
166. Swischuk LE. Spine and spinal cord trauma in the battered child syndrome. Radiology 1969;932:733–738.
167. Brown R, Brunn MA, Garcia VF. Cervical spine injuries in children: a review of 103 patients treated conservatively at a level 1 pediatric trauma center. J Pediatr Surg 2001;36:1107–1114.
168. Thomas NH, Robinson L, Evans A, et al. The floppy infant: a new manifestation of nonacccidental injury. Pediatr Neurosurg 1995;23:188–191.
169. Kleinman PK, Shelton YA. Hangman’s fracture in an abused infant: imaging features. Pediatr Radiol 1997;27:776–777.
170. Currarino G. Primary spondylolysis of the axis vertebrae (C-2) in three children, including one with pyknodysostosis. Pediatr Radiol 1989;19:535–538.
171. Ravindran RK, Mullett JH, Burke TE. Hangman’s fracture caused by suspected child abuse: a case report. J Pediatr Orthop B 2002;11:329–332.
172. Rooks VJ, Sisler C, Burton B. Cervical spine injury in child abuse: a report of two cases. Pediatr Radiol 1998;28:193–195.
173. Carrion WV, Dormans JP, Drummond DS, et al. Circumferential growth plate fracture of the thoracolumbar spine from child abuse. J Pediatr Orthop 1996;16:210–214.
173a. Habert J, Haller JO. Iatrogenic vertebral body compression fracture in a premature infant caused by extreme flexion during positioning for a lumbar puncture. Pediatr Radiol 2000;30:410–411.
174. American College of Radiology. Imaging of the child with suspected child abuse. In: American College of Radiology Standards for Skeletal Surveys in Children. Resolution 22. Reston, VA: American College of Radiology; 1997;23.
175. Ellerstein NS, Norris KJ. Value of radiologic skeletal survey in assessment of abused children. Pediatrics 1984;74:1075–1078.
176. Sly JR, Starshak RJ. The role of bone scintigraphy in the evaluation of the suspected abused child. Radiology 1983;146:369–375.
177. Jaudes PK. Comparison of radiography and radionuclide bone scanning and the detection of child abuse. Pediatrics 1984;73:166–168.
178. Fordham EW, Ramachandran PC. Radionuclide imaging of osseous trauma. Semin Nucl Med 1974;4:411–429.
179. Youmans DC, Don S, Hidebolt C, et al. Skeletal surveys for child abuse: comparison of interpretation using digitized images and screen-film radiographs Am J Roentgenol 1998;171:1415–1419.
180. Kleinman PK, O’Connor B, Nimkin K, et al. Detection of rib fractures in an abused infant using digital radiography: a laboratory study. Pediatr Radiol 2002;32:896–901.
181. Markowitz RI, Hubbard AM, Harty MP, et al. Sonography of the knee in normal and abused infants. Pediatr Radiol 1993;23:264–267.
182. Rogers LF, Poznanski AK. Imaging of epiphyseal injuries. Radiology 1994;191:297–308.
183. Dreizen S, Spirakis CN, Stone RE. The influence of age and nutrition on “bone scar” formation in the distal end of the growing femur. Am J Phys Anthropol 1964;22:295–306.
184. Edwards DK. Skeletal growth lines seen on radiographs of newborn infants: prevalence and possible association with obstetric abnormalities. Am J Roentgenol 1993;161:141–145.
185. Kaplan JM. Pseudoabuse: the misdiagnosis of child abuse. J Forensic Sci 1986;31:1420–1428.
186. Bernet W. False statements and the differential diagnosis of abuse allegations. J Am Acad Child Adolesc Psychiatry 1993;32:903–910.
187. American Academy of Child and Adolescent Psychiatry. Policy Statement: Guidelines for the Clinical Evaluation of Child and Adolescent Sexual Abuse. Washington, DC: American Academy of Child and Adolescent Psychiatry; 1990.
188. Kleinman PK, Belanger PL, Karellas A, et al. Normal metaphyseal radiologic variants not to be confused with findings of infant abuse. Am J Roentgenol 1991;156:781–783.
189. Zeiss J, Wycliffe ND, Cullen BJ, et al. Radiological case of the month. Am J Dis Child 1988;142:1367–1368.
190. DeRusso PA, Spevak MR, Schwarz KB. Fractures in biliary atresia misinterpreted as child abuse. Pediatrics 2003;112:185–188.
191. Chalumeau M, Fox-l’Helias L, Scheinmann P, et al. Rib fractures after chest physiotherapy for bronchiolitis or pneumonia in infants. Pediatr Radiol 2002;32:644–647.
192. Lim HK, Smith WL, Sato Y, et al. Congenital syphilis mimicking child abuse. Pediatr Radiol 1995;25:560–561.
193. Duncan AA, Chandry J. Case report: multiple neonatal fractures=mdietary or deliberate? Clin Radiol 1993;48:137–139.
194. Harty MP, Kao SC. Intraosseous vascular access defect: fracture mimic in the skeletal survey for child abuse. Pediatr Radiol 2002;32:188–190.
195. Grayev AM, Boal DKB, Wallach DM, et al. Metaphyseal fractures mimicking abuse during treatment for clubfoot. Pediatr Radiol 2001;31:559–563.
196. McClain JL, Clark MA, Sandusky GE. Undiagnosed, untreated acute lymphoblastic leukemia presenting as suspected child abuse. J Forensic Sci 1990;35:735–739.
197. Newman RS, Jalili M, Kolls BJ, et al. Factor XIII deficiency mistaken for battered child syndrome: case of a commonly accepted qualitative test with limited negative predictive value. Am J Hematol 2002;71:328–330.
198. Patterson CR, Burns J, McAltion SJ. Osteogenesis imperfecta: the distinction from child abuse and the recognition of a variant form. Am J Med Genet 1993;45:187–192.
199. Sillence D. Osteogenesis imperfecta: an expanding panorama of variants. Clin Orthop 1981;159:11–25.
200. Sillence D, Butler B, Latham M, et al. Natural history of blue sclerae in osteogenesis imperfecta. Am J Med Genet 1993;45:183–186.
201. Albin DS, Greenspan A, Reinhart M et al. Differentiation of child abuse from osteogenesis imperfecta. Am J Roentgenol 1990;154:1035–1046.
202. Dent JA, Patterson CR. Fractures in early childhood: osteogenesis imperfecta or child abuse? J Pediatr Orthop 1991;11:184–186.
203. Shoenfeld Y, Fried A, Ehrenfeld NE. Osteogenesis imperfecta: review of the literature with presentation of 29 cases. Am J Dis Child 1975;129:679–687.
204. Ojima K, Matsumoto H, Hayase T, et al. An autopsy case of osteogenesis imperfecta initially suspected as child abuse. Forensic Sci Int 1994;65:97–104.
205. Gahagan S, Rimsza ME. Child abuse or osteogenesis imperfecta: how can we tell? Pediatrics 1991;88:987–991.
206. Byers PH. Disorders of collagen biosynthesis and structure. In: Scriver CR, Beaudet AL, Sly WS, et al, eds. The Metabolic Basis of Inherited Disease. New York: McGraw-Hill; 1989:2814–2824.
207. Steiner RD, Pepin M, Beyers PH. Studies of collagen synthesis and structure in the differentiation of child abuse from osteogenesis imperfecta. J Pediatr 1996;128:542–547.
208. Knight DJ, Bennet GC. Nonaccidental injury in osteogenesis imperfecta: a case report. J Pediatr Orthop 1990;10:542–544.
209. Albin D. Osteogenesis imperfecta: a review. Can Assoc Radiol J 1998;49:110–123.
210. Ablin DS, Sane SM. Non-accidental injury: confusion with temporary brittle bone disease and mild osteogenesis imperfecta. Pediatr Radiol 1997;27:111–113.
211. Chapman S, Hall CM. Non-accidental injury, or brittle bones. Pediatr Radiol 1997;27:106–110.
212. Miller M. Fractures during physical therapy [Letter]. Pediatr Radiol 2002;32:536–537.
213. Miller ME, Hangartner TN. Temporary brittle bone disease: association with decreased fetal movement and osteopenia. Calcif Tissue Int 1999;64:137–143.
214. Miller ME. Temporary brittle bone disease: a real entity? Semin Perinatol 1999;23:174–182.
215. Miller ME. Another perspective as to the cause of bone fractures in potential child abuse. Pediatr Radiol 2000;30:495–496.
216. Cazalet J. Note Re R (A Minor). Expert Evidence.  1 FLR 291.
217. Lynch MA. A judicial comment on temporary brittle bone disease [Letter]. Arch Dis Child 1995;73:379.
218. Meadow R. Unnatural sudden infant death. Arch Dis Child 1999;80:7–14.
219. Byard RW, Keeley FW, Smith CR. Type IV Ehlers-Danlos syndrome presenting as sudden infant death. Am J Clin Pathol 1990;93:579–582.
220. Sperry K, Pfalzgraf R. Inadvertent clavicular fractures caused by “chiropractic” manipulations in an infant: an unusual form of pseudoabuse. J Forensic Sci 1995;35:1211–1216.
221. Clayton EW. Potential liability in cases of child abuse and neglect. Pediatr Ann 1997;26:173–177.
222. Steinberg AM, Pynoos RS, Goenjian AK, et al. Are researchers bound by child abuse reporting laws? Child Abuse Negl 1999;8:771–777.
223. Halverson KC, Elliott BA, Rubin MS, et al. Legal considerations in cases of child abuse. Primary Care 1993;20:407–415.
224. Chadwick DL. Preparation for court testimony in child abuse cases. Pediatr Clin North Am 1990;37:955–970.
225. Drake JA. Physicians and attorneys: a partnership on behalf of the youngest victims of family violence. Md Med J 1994;43:365–367.
226. Brent RL. The irresponsible expert witness: a failure of biomedical graduate education and professional accountability. Pediatrics 1982;7:754–762.
227. Fluke JD, Yuan Y-Y, Edwards M. Recurrence of maltreatment: an application of the National Child Abuse and Neglect Data System (NCANDS). Child Abuse Negl 1999;23:633–650.
228. Murphy JM, Bishop SJ, Jellinek MS, et al. What happens after the care and protection petition? Reabuse in a court sample. Child Abuse Negl 1992;16:485–493.
229. Handy TC, Nichols GR II, Smock WS. Repeat visitors to a pediatric forensic medicine program. J Forensic Sci 1996;41:841–844.
230. Smith PB, Poertner J, Fields JD. Preventing child abuse and neglect in Texas. Texas Med 1990;86:44–45.
Two references invaluable for preparation for testimony in the courtroom about child abuse:
Chadwick DL. Preparation for court testimony in child abuse cases. Pediatr Clin North Am 1990;37:955–970.
Halverson KC, Elliott BA, Rubin MS, et al. Legal considerations in cases of child abuse. Primary Care 1993;20:407–415.
The bible of child abuse radiology:
Kleinman PK. Diagnostic imaging of child abuse, 2nd ed. St. Louis: Mosby; 1998.
A current, concise review of the orthopaedic detection of child abuse:
Kocher MS, Kasser JR. Orthopaedic aspects of child abuse. J Am Acad Orthop Surg 2000;8:10–20.
A handy reference for courtroom testimony involving dating fractures:
O’Connor JF, Cohen J. Dating fractures. In: Kleinman PK, ed. Diagnostic Imaging of Child Abuse. Baltimore: Williams & Wilkins, 1987.