ABSTRACT

In 1946, John Caffey, MD, a pediatric radiologist, was the first to recognize the association between multiple long bone fractures and chronic subdural hematomas in abused infants (Caffey, 1946). Further work by Silverman

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102 THE SHAKEN

(1953) and Kempe and Silverman (1962) delineated the radiographic findings of injuries to the long bones and recognized them as manifestations of the "battered child." In the early 1970s, Caffey (1974) and Guthkelch (1971) emphasized the prevalence and pathogenesis of the CNS injury associated with the whiplash-shaken infant syndrome. The development and refinement of computerized cross sectional imaging in the past three decades has allowed numerous other investigators to further describe the characteristic findings and often the devastating consequences of the shaken baby syndrome.