Abstract：
BACKGROUND: Child physical abuse, a type of child maltreatment (CM), poses a significant global public health concern. Nonaccidental fractures and soft tissue injuries, which encompass any action that directly or indirectly harms a child, are the primary indicators of physical abuse in children.
OBJECTIVE: This study aimed to investigate the prevalence, risk factors, and outcomes of accidental and nonaccidental skeletal fractures in a sample of Egyptian children.
METHODS: A cross-sectional analytical study was conducted between March 2022 and August 2022. A total of 156 children who presented with skeletal injuries and attended Mobarak Central Hospital were enrolled. Patients were subjected to full history taking, complete examination, and investigations. A structured questionnaire was administered to all the legal guardians.
RESULTS: Physical abuse was reported in 22.4 % of cases, while medical neglect was reported in 19.9 % of cases. The incidence of physical abuse was notably higher among children whose fathers were smokers and/or drug addicts (p ≤ 0.05). The most common form of physical abuse was hitting (94.3 %). Among skeletal injuries, fractures were predominant (94.3 %), primarily closed fractures associated with contusions. Fractures of the upper limb accounted for the highest incidence (94.3 %) of skeletal injuries, and 60 % of physically abused children experienced moderate-severity injuries.
CONCLUSIONS: The most common fracture observed in abused children is the upper limb fracture, typically involving a single bone. Clinicians should be more vigilant in suspecting abuse, even in cases where there is an isolated fracture, and advocate for the development of parental training programs.
OBJECTIVE: This study aimed to investigate the prevalence, risk factors, and outcomes of accidental and nonaccidental skeletal fractures in a sample of Egyptian children.
METHODS: A cross-sectional analytical study was conducted between March 2022 and August 2022. A total of 156 children who presented with skeletal injuries and attended Mobarak Central Hospital were enrolled. Patients were subjected to full history taking, complete examination, and investigations. A structured questionnaire was administered to all the legal guardians.
RESULTS: Physical abuse was reported in 22.4 % of cases, while medical neglect was reported in 19.9 % of cases. The incidence of physical abuse was notably higher among children whose fathers were smokers and/or drug addicts (p ≤ 0.05). The most common form of physical abuse was hitting (94.3 %). Among skeletal injuries, fractures were predominant (94.3 %), primarily closed fractures associated with contusions. Fractures of the upper limb accounted for the highest incidence (94.3 %) of skeletal injuries, and 60 % of physically abused children experienced moderate-severity injuries.
CONCLUSIONS: The most common fracture observed in abused children is the upper limb fracture, typically involving a single bone. Clinicians should be more vigilant in suspecting abuse, even in cases where there is an isolated fracture, and advocate for the development of parental training programs.
摘要：
背景：儿童身体虐待，一种儿童虐待(CM)，构成了重大的全球公共卫生问题。非意外骨折和软组织损伤，包括任何直接或间接伤害儿童的行为，是儿童身体虐待的主要指标。
目的：本研究旨在调查患病率，危险因素，以及埃及儿童样本中意外和非意外骨骼骨折的结果。
方法：在2022年3月至2022年8月之间进行了横断面分析研究。共有156名患有骨骼损伤并在Mobarak中心医院就诊的儿童入选。患者接受了完整的病史记录，完整的检查,和调查。对所有法定监护人进行了结构化问卷。
结果：在22.4%的病例中报告了身体虐待，而19.9%的病例报告了医疗疏忽。在父亲为吸烟者和/或吸毒者的儿童中，身体虐待的发生率明显较高（p≤0.05）。最常见的身体虐待形式是击球（94.3％）。在骨骼损伤中，骨折占主导地位（94.3%），主要是与挫伤相关的闭合性骨折。上肢骨折占骨骼损伤发生率最高(94.3%),60%受身体虐待的儿童经历了中度严重伤害。
结论：受虐待儿童中最常见的骨折是上肢骨折，通常涉及一根骨头。临床医生应该更加警惕怀疑虐待行为，即使在有孤立骨折的情况下，并倡导发展家长培训计划。
目的：本研究旨在调查患病率，危险因素，以及埃及儿童样本中意外和非意外骨骼骨折的结果。
方法：在2022年3月至2022年8月之间进行了横断面分析研究。共有156名患有骨骼损伤并在Mobarak中心医院就诊的儿童入选。患者接受了完整的病史记录，完整的检查,和调查。对所有法定监护人进行了结构化问卷。
结果：在22.4%的病例中报告了身体虐待，而19.9%的病例报告了医疗疏忽。在父亲为吸烟者和/或吸毒者的儿童中，身体虐待的发生率明显较高（p≤0.05）。最常见的身体虐待形式是击球（94.3％）。在骨骼损伤中，骨折占主导地位（94.3%），主要是与挫伤相关的闭合性骨折。上肢骨折占骨骼损伤发生率最高(94.3%),60%受身体虐待的儿童经历了中度严重伤害。
结论：受虐待儿童中最常见的骨折是上肢骨折，通常涉及一根骨头。临床医生应该更加警惕怀疑虐待行为，即使在有孤立骨折的情况下，并倡导发展家长培训计划。
