Published online September 1, 2006
PEDIATRICS Vol. 118 No. 3 September 2006, pp. 1299-1303 (doi:10.1542/peds.2006-1795)
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CLINICAL REPORT

Evaluating Infants and Young Children With Multiple Fractures

Carole Jenny, MD, MBA, FAAP for the Committee on Child Abuse and Neglect

Infants and toddlers with multiple unexplained fractures are often victims of inflicted injury. However, several medical conditions can also cause multiple fractures in children in this age group. In this report, the differential diagnosis of multiple fractures is presented, and diagnostic testing available to the clinician is discussed. The hypothetical entity "temporary brittle-bone disease" is examined also. Although frequently offered in court cases as a cause of multiple infant fractures, there is no evidence that this condition actually exists.

Key Words: child abuse • fractures • metabolic bone diseases • osteogenesis imperfecta • rickets




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