A child brought to casualty with reports of violent shaking by parents. The most likely injury is?
Correct Answer: Subdural haematoma
Description: Violent shaking (by parent) may cause subdural hematoma; whereas ruptured spleen occurs due to compression of abdomen; long bone fracture due to compression, bending, direct blow, pulling and twisting; and skull fractures due to direct blow.
Caffey (1974) described the effects of shaking as a major cause of subdural haematoma and intraocular bleeding in battered babies or infantile whiplash syndrome.
Category:
Forensic Medicine
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