BACKGROUND Dogma has long prevailed regarding the ageing of bruises, and whether certain patterns of bruising are suggestive or diagnostic of child abuse. OBJECTIVES We conducted the first Systematic Reviews addressing these two issues, to determine the scientific basis for current clinical practice. There have been seven updates since 2004. METHODS An all language literature search was per...

The authors are to be congratulated for the systematic review ‘‘Are there patterns of bruising in childhood which are diagnostic or suggestive of abuse?’’. It is an extremely valuable piece of work, providing data for paediatricians working in the field of child protection. Results show that non-abusive bruises are generally small, sustained over bony prominences, and found on the front of the ...

1522-8401/$ see fro doi:10.1016/j.cpem.2 *Department of Pedi yMayerson Center fo Hospital Medica Medicine, Cincin zDivision of Forens Medicine, Louisvi Reprint requests and ment of Pediatrics 40202. (E-mails: mary.pierce@loui [email protected] Bruising is one of the earliest, most common, and easily recognizable signs of physical child abuse and can signal escalating interpersonal violence with...

The accurate interpretation of bruising at necropsy is essential to understanding how a victim has been injured and assists the pathologist in a reliable reconstruction of the events leading to death. It is essential not only to assess the mechanism of production of a bruise, taking into account the type of impacting surface and the magnitude of force used, but also to estimate when the injury ...

BACKGROUND In forensics bruises as injuries take an important part in the interpretation of the causes of death. Since activating the inflammatory response of the body in their formation, histological analysis of the bruised tissue can provide data on the determination the time when the injury occurred. AIM The aim of this study is to compare the histological features of 1-day and 5-days old ...

We conducted a prospective study to evaluate bone bruises, or trabecular microfractures, associated with isolated medial collateral ligament injuries. Magnetic resonance imaging was performed on 65 patients with isolated medial collateral ligament injuries determined by physical examination and imaging studies. Of these 65 patients, 29 (45%) had associated trabecular microfractures. Follow-up i...

conclusions every clinician must be alert to the possibility of battered baby in a child with multiple injuries. case presentation a three-year-old female child was brought with multiple bruises, fracture of left femur and features of raised intracranial tension. the etiology was unclear at presentation. inconsistencies in history given by the mother, a background of poverty and single parentho...

We used MRI to study a prospective series of 95 patients with inversion injuries of the ankle and no fracture on plain radiographs. We found an incidence of bone bruises of 27%, but these made no difference to the time of return to work, limitation of walking or physical activity, or the clinical outcome scores at three months. We conclude that bone bruises have very little clinical significanc...