ABSTRACT
Sadly, any clinician treating minor injuries in children has to be aware of the possibility of non-accidental injury (NAI). At any time in people consultation there may be a pointer to NAI. In many cases of inflicted injury or of neglect, people will reach a balanced opinion by putting together a 'jigsaw' of information and by talking with experienced colleagues. Certain injuries are highly suspicious of NAI. These include: a subdural haemorrhage or skull fracture without a high-impact head injury, a spiral fracture of the humerus, Corner metaphyseal fractures of long-bones, and fractures of different ages. Corner metaphyseal fractures are difficult to spot. They are highly suggestive of abuse and are thought to result from twisting the limb or shaking the child. A subdural haemorrhage can be caused either accidentally or from abuse. Ensure the child's notes have all relevant demographic information.
