BACKGROUND Nonaccidental pediatric injuries are major cause of morbidity and mortality, with fractures being second to soft-tissue injuries as the most common presentation. As the orthopedic surgeon might be the only physician an abused child would encounter, the role of the orthopedic surgeon is of great importance. It includes recognition, treatment, and appropriate report of suspected child ...

Burns in young infants have long been recognized as a potential cause of nonaccidental injury. Accidental exposure to hot car seat parts resulting in significant burn injury is an unusual mimicker of child abuse. A case involving an 11-month-old child who presented with a significant contact burn injury related to the noncovered, heated, plastic part of a car seat, is described. The present cas...

OBJECTIVE To survey the level of interest and involvement in child injury prevention among general practitioners and their practice teams, and to identify factors associated with current interest. DESIGN Postal survey of a random sample of United Kingdom (UK) medical practitioners. SETTING Medical practices throughout the UK. SUBJECTS 957 general practitioners (50% of the total sample) wh...

OBJECTIVES To compare child injury mortality in Germany with that of four neighboring countries, and to examine injury prevention models in these countries with a view to improving prevention programs in Germany. METHODS Based on official cause of death certificates, child injury mortality rates in Germany are compared with those of Austria, The Netherlands, Sweden, and Switzerland. The main ...

Fifty children who were referred to the child abuse team in Leeds over the 10 years 1976-86 with suspected non-accidental injury were found to have conditions which mimicked non-accidental injury. These included impetigo (nine children) and blue spots (five children). Five children who presented with multiple bruising had haemostatic disorders. Eight children had disorders of the bone. Five chi...

UNLABELLED Trauma to the primary dentition is common. This injury may have an impact on the child and his/her parents. The examining dentist should take appropriate factors into consideration before providing the required treatment. This paper discusses the management of trauma to the primary teeth and describes the sequelae of injury to both the primary and secondary dentitions. CLINICAL REL...

BACKGROUND Parent education and training programmes can improve maternal psychosocial health, child behavioural problems and parenting practices. This review assesses the effects of parenting interventions for reducing child injury. OBJECTIVES To assess the effects of parenting interventions for preventing unintentional injury as well as increasing possession and use of safety equipment and p...

BACKGROUND All-terrain vehicle (ATV) injury is a serious problem in children and adolescents. We report an unusual case of a child with cranial impalement in a rollover ATV crash. CASE An 8-year-old, reportedly helmeted, was driving an ATV uphill when it rolled over causing cranial impalement of the brake handle just above the left ear. The child was awake and alert at the scene and on arriva...

This study finds that the break-even point for child safety seat misuse reduction programs and vehicle and seat design improvements is dollars 121 a year per child seat in use, annual misuse reduction program cost is dollars 6, and Lower Anchors and Tethers for Children (LATCH) cost dollars 13 annually per seat in use (in 2004 dollars). To estimate societal injury cost savings we compared tow-a...

Aim The CHIPPS Programme is based in the section of Community Child Health, Department of Child Health, University of Newcastle upon Tyne. The aim of this programme is to develop the scientific basis of child injury prevention and provide England with a centre of excellence in academic and applied research in the field. It sets out to develop a sound information base in the seven health distric...