Imaging Findings in Elder Abuse: A Role for Radiologists in Detection

Canadian Association of Radiologists Journal - Tập 68 - Trang 16-20 - 2017
Natalie Z. Wong1,2, Tony Rosen1, Allen M. Sanchez3, Elizabeth M. Bloemen4, Kevin W. Mennitt3, Keith Hentel3, Refky Nicola5, Kieran J. Murphy6, Veronica M. LoFaso2, Neal E. Flomenbaum1, Mark S. Lachs2
1Division of Emergency Medicine, Weill Cornell Medical College, New York, New York, USA
2Division of Geriatric and Palliative Medicine, Weill Cornell Medical College, New York, New York, USA
3Department of Radiology, Weill Cornell Medical College, New York, New York, USA
4University of Colorado Medical School, Aurora, Colorado, USA
5Department of Imaging Sciences, University of Rochester Medical Center, Rochester, New York, USA
6Department of Medical Imaging, University of Toronto, Toronto, Ontario, Canada

Tóm tắt

Purpose Emergency department assessment represents a critical but often missed opportunity to identify elder abuse, which is common and has serious consequences. Among emergency care providers, diagnostic radiologists are optimally positioned to raise suspicion for mistreatment when reviewing imaging of geriatric injury victims. However, little literature exists describing relevant injury patterns, and most radiologists currently receive neither formal nor informal training in elder abuse identification. Methods We present 2 cases to begin characterisation of the radiographic findings in elder abuse. Results Findings from these cases demonstrate similarities to suspicious findings in child abuse including high-energy fractures that are inconsistent with reported mechanisms and the coexistence of acute and chronic injuries. Specific injuries uncommon to accidental injury are also noted, including a distal ulnar diaphyseal fracture. Conclusions We hope to raise awareness of elder abuse among diagnostic radiologists to encourage future large-scale research, increased focus on chronic osseous findings, and the addition of elder abuse to differential diagnoses.

Tài liệu tham khảo

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Canadian Association of Radiologists Journal

Tập 68

16-20

Thông tin tác giả