Article
How common is abuse in Greece? Studying cases with femoral
fractures
I Trogana, N Dessyprisb, M Moustakib, E Petridoub
a University of
Rochester School of Medicine, Rochester, NY, USA, b University of Athens School of Medicine,
Department of Hygiene & Epidemiology, 75 M. Asias Str., Goudi, Athens
11527, Greece
Correspondence to: Prof. Petridou epetrid{at}med.uoa.gr
Accepted 3 May 2001
AIMS
To examine the extent of
undiagnosed child abuse in Greece by studying young children with
femoral fractures, which may be associated with abuse.
METHODS
Fifty seven consecutive
cases of children under 6 years of age with femoral fracture were
identified from the Emergency Department Injury Surveillance System
database. Controls were 4162 children with other orthopaedic injuries
from the same database.
RESULTS
Whereas in the literature
about one third of femoral injuries among young children are attributed
to child abuse, no child in the studied series had been diagnosed or
even investigated in this context. Nevertheless, the pattern of
occurrence of femoral injuries was compatible with that of child abuse,
in that patients were frequently very young boys of low socioeconomic
status, and the accident had frequently occurred under poorly
identified or implausible conditions at time periods when most family
members were crowded at home.
CONCLUSIONS
Epidemiological risk
factors for child abuse characterise femoral fractures in young
children in Greece. It appears that child abuse is present in this
country as in most other cultures. There is a clear need for refocusing
medical personnel and hospital social services so that the problem is
revealed, quantified, and appropriately dealt with.
Keywords: child abuse; femoral fractures; injury
© 2001 by Archives of Disease in Childhood
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