European Society of Paediatric Radiology (ESPR) Child Abuse Taskforce Committee: a response to Miller et al.

  • 1 Medical Imaging Department, Barnsley Hospital NHS Foundation Trust, Gawber Road, Barnsley, UK
  • 2 Academic Unit of Child Health, University of Sheffield, Damer Street Building, Sheffield Children’s NHS Foundation Trust, Western Bank, Sheffield, UK
  • 3 Pediatric Radiology Department, Paris-Sud University, Faculty of Medicine, and AP-HP, Bicêtre Hospital, Le Kremlin Bicêtre, Paris, France
  • 4 Pediatric Radiology Department, Hospital Sant Joan de Déu, Barcelona, Spain
  • 5 Radiology Department, University Hospital of Heraklion, University of Crete, Crete, Greece
  • 6 Department of Radiology, Academic Medical Centre, University of Amsterdam, Amsterdam, The Netherlands
  • 7 Department of Radiology, Sheffield Children’s NHS Foundation Trust, Western Bank, Sheffield, UK
Michael PaddockORCID iD: https://orcid.org/0000-0003-4508-8803
  • Medical Imaging Department, Barnsley Hospital NHS Foundation Trust, Gawber Road, Barnsley, UK
  • Academic Unit of Child Health, University of Sheffield, Damer Street Building, Sheffield Children’s NHS Foundation Trust, Western Bank, Sheffield, UK
  • orcid.org/0000-0003-4508-8803
  • Search for other articles:
  • degruyter.comGoogle Scholar
, Catherine AdamsbaumORCID iD: https://orcid.org/0000-0003-1067-0529, Ignasi BarberORCID iD: https://orcid.org/0000-0001-5938-6348, Maria RaissakiORCID iD: https://orcid.org/0000-0001-5281-475X, Rick van RijnORCID iD: https://orcid.org/0000-0002-8876-6515 and Amaka C OffiahORCID iD: https://orcid.org/0000-0001-8991-5036
  • Corresponding author
  • Academic Unit of Child Health, University of Sheffield, Damer Street Building, Sheffield Children’s NHS Foundation Trust, Western Bank, Sheffield, UK
  • Department of Radiology, Sheffield Children’s NHS Foundation Trust, Western Bank, Sheffield, UK
  • orcid.org/0000-0001-8991-5036
  • Email
  • Search for other articles:
  • degruyter.comGoogle Scholar

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  • 1.

    Miller, M, Stolfi, A, Ayoub, D. Findings of metabolic bone disease in infants with unexplained fractures in contested child abuse investigations: a case series of 75 infants. J Pediatr Endocrinol Metab 2019;32:1103–20. https://doi.org/10.1515/jpem-2019-0093.

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  • 2.

    Cardiff University. 1.6 Metaphyseal fractures. Child protection evidence systematic review on fractures: Royal College of Paediatrics and Child Health; 2018 [updated April 2018; 11 March 2020]. Available from: https://www.rcpch.ac.uk/sites/default/files/2019-02/child_protection_evidence_-_fractures.pdf.

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    Cardiff University. 1.1 Rib fractures. Child protection evidence systematic review on fractures: Royal College of Paediatrics and Child Health; 2018 [updated April 2018; 11 March 2020]. Available from: https://www.rcpch.ac.uk/sites/default/files/2019-02/child_protection_evidence_-_fractures.pdf.

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    Ayoub, DM, Hyman, C, Cohen, M, Miller, M. A critical review of the classic metaphyseal lesion: traumatic or metabolic? AJR Am J Roentgenol 2014;202:185–96. https://doi.org/10.2214/ajr.13.10540.

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    Miller, M, Mirkin, LD. Classical metaphyseal lesions thought to be pathognomonic of child abuse are often artifacts or indicative of metabolic bone disease. Med Hypotheses 2018;115:65–71. https://doi.org/10.1016/j.mehy.2018.03.017.

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    Chalumeau, M, Foix-L’Helias, L, Scheinmann, P, Zuani, P, Gendrel, D, Ducou-le-Pointe, H. Rib fractures after chest physiotherapy for bronchiolitis or pneumonia in infants. Pediatr Radiol 2002;32:644–7. https://doi.org/10.1007/s00247-002-0755-y.

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    Kwon, DS, Spevak, MR, Fletcher, K, Kleinman, PK. Physiologic subperiosteal new bone formation: prevalence, distribution, and thickness in neonates and infants. AJR Am J Roentgenol 2002;179:985–8. https://doi.org/10.2214/ajr.179.4.1790985.

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    Glaser, K. Double contour, cupping and spurring in roentgenograms of long bones in infants. Am J Roentgenol Radium Ther 1949;61:482–92.

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    Oestreich, AE. Distinguishing child abuse fractures from rickets. Pediatr Radiol 2018;48:305–7. https://doi.org/10.1007/s00247-017-4037-0.

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    Quigley, AJ, Stafrace, S. Skeletal survey normal variants, artefacts and commonly misinterpreted findings not to be confused with non-accidental injury. Pediatr Radiol 2014;44:82–93; quiz 79–81. https://doi.org/10.1007/s00247-013-2802-2.

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    Eide, P, Djuve, A, Myklebust, R, Forseth, KF, Nottveit, A, Brudvik, C, et al. Prevalence of metaphyseal injury and its mimickers in otherwise healthy children under two years of age. Pediatr Radiol 2019;49:1051–5. https://doi.org/10.1007/s00247-019-04413-5.

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    Williams, HJ, Davies, AM, Chapman, S. Bone within a bone. Clin Radiol 2004;59:132–44. https://doi.org/10.1016/S0009-9260(03)00337-4.

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    Fishman, EK, Ney, DR, Heath, DG, Corl, FM, Horton, KM, Johnson, PT. Volume rendering versus maximum intensity projection in CT angiography: what works best, when, and why. Radiographics 2006;26:905–22. https://doi.org/10.1148/rg.263055186.

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  • 15.

    Shur, N. A case of broken bones and systems: the threat of irresponsible testimony. Am J Med Genet A 2019;179:429–34. https://doi.org/10.1002/ajmg.a.61043.

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  • 16.

    Brown, SD, Moreno, JA, Shur, N, Servaes, S. Society for Pediatric Radiology (SPR) Child Abuse Committee response regarding Miller, Stolfi and Ayoub’s flawed theories about child abuse and metabolic bone disease. J Pediatr Endocrinol Metab 2020;33:547–8. https://doi.org/10.1515/jpem-2019-0544.

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The Journal of Pediatric Endocrinology and Metabolism (JPEM) is the only international journal dedicated exclusively to endocrinology in the neonatal, pediatric and adolescent age groups, and publishes the results of clinical investigations in pediatric endocrinology and basic research. JPEM publishes Review Articles, Original Research, Case Reports, Short Communications and Letters to the Editor.

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