Letters Patterns of skeletal fractures in child abuse

“Unexplained” fractures

BMJ 2008; 337 doi: https://doi.org/10.1136/bmj.a2279 (Published 28 October 2008) Cite this as: BMJ 2008;337:a2279
  1. James R Le Fanu, general practitioner1,
  2. Rosemary Neary2,
  3. Denise Bartlett2
  1. 1Mawbey Brough Health Centre, London SW8 2UD
  2. 2Eaton Foundation, Wisbech, Cambs PE14 8TP
  1. james.lefanu{at}btinternet.com

    The systematic review by Kemp et al of skeletal fractures in children and the accompanying editorial gloss over the substantial medical uncertainties in this area that result in parents being wrongfully accused of injuring their children.1 2 It might seem self evident that deliberately inflicted injury must be the probable cause of an “unexplained” fracture—where “unexplained” in this context means there is no plausible history of accidental trauma. and those conditions that predispose …

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