Protocol for the Care of Non-Accidental Trauma in the Child and Adolescent Population: Radiological and Traumatological Aspects

  • Bibiana Dello Russo Orthopedics and Traumatology Service, Hospital Nacional de Pediatría “Prof. Dr. Juan P. Garrahan”, Autonomous City of Buenos Aires, Argentina https://orcid.org/0000-0001-6487-4418
  • Mónica Galeano Diagnostic Imaging Service, Hospital Nacional de Pediatría “Prof. Dr. Juan P. Garrahan”, Autonomous City of Buenos Aires, Argentina https://orcid.org/0000-0002-3904-3783
  • Florencia D’Adamo Equipo de Atención al Trauma no Accidental, Hospital Nacional de Pediatría “Prof. Dr. Juan P. Garrahan”, Ciudad Autónoma de Buenos Aires, Argentina https://orcid.org/0009-0006-9700-0999
DOI: https://doi.org/10.15417/issn.1852-7434.2025.90.6.2039
Keywords: Children, non-accidental trauma, radiological protocol

Abstract

Child and adolescent abuse is a violation of human rights and a major global public health problem affecting hundreds of millions of children and adolescents, with serious short- and long-term health consequences. One quarter of adults (22.6%) worldwide were victims of physical abuse during childhood; among them, 36.3% experienced emotional abuse and 16.3% experienced physical neglect, with no significant differences between boys and girls. However, the lifetime prevalence of childhood sexual abuse shows more marked differences, with rates of approximately 20% in girls and 8% in boys. This article describes the protocol used in our hospital for the diagnosis and management of bone injuries and compares it with the most recent systematic reviews published on the subject.

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Author Biographies

Bibiana Dello Russo, Orthopedics and Traumatology Service, Hospital Nacional de Pediatría “Prof. Dr. Juan P. Garrahan”, Autonomous City of Buenos Aires, Argentina
Orthopedics and Traumatology Service, Hospital Nacional de Pediatría “Prof. Dr. Juan P. Garrahan”, Autonomous City of Buenos Aires, Argentina
Mónica Galeano, Diagnostic Imaging Service, Hospital Nacional de Pediatría “Prof. Dr. Juan P. Garrahan”, Autonomous City of Buenos Aires, Argentina
Chief of Clinic, Department of Radiology, National Pediatric Hospital “Prof. Dr. Juan P. Garrahan,” Buenos Aires City, Argentina.
Florencia D’Adamo, Equipo de Atención al Trauma no Accidental, Hospital Nacional de Pediatría “Prof. Dr. Juan P. Garrahan”, Ciudad Autónoma de Buenos Aires, Argentina
Former Fellow, Special Program for the Comprehensive Approach to Child Abuse, National Pediatric Hospital “Prof. Dr. Juan P. Garrahan,” Buenos Aires City, Argentina. Non‑Accidental Trauma Care Team, National Pediatric Hospital “Prof. Dr. Juan P. Garrahan,” Buenos Aires City, Argentina.

References

Sánchez NI, Cuenca L. Estudio sobre maltrato infantil en niños y adolescentes de la Provincia de Buenos Aires. Revista Argentina de Ciencias del Comportamiento 2011;3(3):8-15. https://doi.org/10.32348/1852.4206.v3.n3.5200

Pinto Cortez C. Perspectiva histórica en el estudio del maltrato infantil. Poiésis 2019;(17). https://doi.org/10.21501/16920945.166

UNICEF y Ministerio de Justicia y Derechos Humanos, Argentina. Serie Violencia contra Niñas, Niños y Adolescentes. Fascículo N.° 9. Un análisis de los datos del Programa “Las Víctimas Contra las Violencias” 2020-2021. Disponible en: https://www.unicef.org/argentina/informes/serie-violencia-contra-ninas-ninos-y-adolescentes

Organización Mundial de la Salud. Maltrato infantil. 2022. Disponible en: https://www.who.int/es/news-room/fact-sheets/detail/child-maltreatment

Romano O, Fernández C. Lo esencial en Ortopedia y Traumatología. La Plata: Universidad Nacional de La Plata; EDULP, 2023. Libro digital, PDF - (Libros de cátedra) Archivo Digital: descarga ISBN 978-950-34-2270-0

Pérez Candás JI, Ordóñez Alonso MA, Amador Tejón V. Maltrato emocional. Form Act Pediatr Aten Prim 2018;11(4):215-24. Disponible en: https://fapap.es/files/639-1711-RUTA/06_Maltrato_emocional.pdf

Helfer RE, Slovis TI, Black M. Injuries resulting when small children fall out of bed. Pediatrics 1977;60(4):533-5. https://doi.org/https://doi.org/10.1542/peds.60.4.533

Lirola Cruz MJ, López Barrio AM, Malo JM, Gómez de Terreros I. Análisis de los hallazgos radiológicos en un caso relevante de maltrato infantil. Bienestar y Protección Infantil 1996;2:60-6.

Worlock P, Stower M, Barbor P. Estudio comparativo de las fracturas accidentales y no accidentales en los niños. Br Med J (ed esp) 1987;II:26-30.

Di Pietro MA, Brody AS, Cassady CI, Kleinman PK, Wyly JB, Applegate KE, et al. Diagnostic imaging of child abuse. Pediatrics 2009;123(5):1430-5. https://doi.org/10.1542/peds.2009-0558

Gómez de Terreros I, Serrano Urbano I, Martínez Martín MC. Diagnóstico por imagen del maltrato infantil. Cuad Med Forense 2006;(43-44):21-37. Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1135-76062006000100002&lng=es

Curcoy Barcenilla AI, Trenchs Sainz de la Maza V, Pou Fernández J. Utilidad de la gammagrafía ósea en el diagnóstico diferencial del maltrato infantil. An Pediatr (Barc) 2006;65(1):83-90. Disponible en:

https://www.analesdepediatria.org/es-utilidad-gammagrafia-osea-el-diagnostico-articulo-13090902

The Royal College of Radiologists. Standards for the interpretation and reporting of imaging investigations, 2nd ed. London: The Royal College of Radiologists; 2018.

Kocher MS, Kasser JR. Orthopaedic aspects of child abuse. J Am Acad Orthop Surg 2000;8(1):10-20.

https://doi.org/10.5435/00124635-200001000-00002

Published
2025-12-27
How to Cite
Dello Russo, B., Galeano, M., & D’Adamo, F. (2025). Protocol for the Care of Non-Accidental Trauma in the Child and Adolescent Population: Radiological and Traumatological Aspects. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 90(6), 597-603. https://doi.org/10.15417/issn.1852-7434.2025.90.6.2039
Issue
Vol 90 No 6 (2025): AATO
Section
Review article
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