Patterned Bruises From Abusive Squeezing. Pediatr Emerg Care 2021 Jun 01;37(6):e351-e353
Date
01/10/2019Pubmed ID
30624423DOI
10.1097/PEC.0000000000001717Scopus ID
2-s2.0-85106887334 (requires institutional sign-in at Scopus site) 5 CitationsAbstract
Bruising is the most common presentation of child physical abuse. Many patterns of abusive bruising result in positive or negative imprints of the implement used (eg, fingertips in "grab mark" contusions or hand in slap injury). However, bruising may also form along the lines of greatest anatomical stress (eg, gluteal cleft or pinna bruising). Bruising due to abusive squeezing also forms along lines of greatest anatomical stress, resulting in a negative imprint of the flexural folds of the hand. Four cases of children with this unique pattern of bruising due to abusive squeezing are presented. Recognition of these bruises as inflicted represents an opportunity for early identification and intervention in cases of child physical abuse.
Author List
Petska HW, Frasier LD, Livingston N, Moles R, Sheets LKAuthors
Hillary W. Petska MD Associate Professor in the Pediatrics department at Medical College of WisconsinLynn Sheets MD Professor in the Pediatrics department at Medical College of Wisconsin
MESH terms used to index this publication - Major topics in bold
ChildChild Abuse
Contusions
Humans
Risk Assessment