Practice Areas

• Shaken Baby Syndrome
• Spinal Cord Injury
• Traumatic Brain Injury
• Cerebral Palsy
• Wrongful Death
• Burns
• Car Accident
• Child Abuse
• Child Injuries
• School Injuries
• Daycare injuries
• Dog Bites
• Bike Accident
• Foster Care Abuse

Case Results

Child Abuse

California child sex abuse settlement|California child sex abuse lawyer

Awarded: Confidential

Child Sex Abuse Lawsuit| Million Dollar Judgment|California Child Abuse Lawyer

Awarded: $1,000,000.00

California child abuse lawsuit| California child abuse settlement

Awarded: Confidential

California child sex abuse settlement|California child sex abuse lawsuit

Awarded: Confidential

California child sex abuse attorney|California child sex abuse lawsuit settlement

Awarded: Confidential

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Child Safety News

Child abuse Jessica's law and California|California child abuse lawyer
Posted on 10/29/2010 More

Boy scout child abuse suit 18 million verdict|California abuse lawyer
Posted on 9/2/2010 More

Bikers raise thousands to benefit child abuse awareness.
Posted on 8/28/2010 More

Senator Linda Newell - SB10-171 - Senate Health and Human Services
Posted on 3/13/2010 More

Texas reports a 31% increase in child abuse and neglect deaths.
Posted on 3/7/2010 More

In Ohio, child welfare organizations increase child abuse education.
Posted on 2/1/2010 More

The NFL and Roger Goodell now admit there may be a correlation between multiple concussions and permanent brain damage.
Posted on 12/22/2009 More

The book entitled No one would believe it: Experiences of a child abuse investigator written by Evelyn Kelly Norman is available.
Posted on 11/4/2009 More

In Wisconsin, The Child Welfare Disclosure Act requires some information be made public in child abuse cases.
Posted on 10/21/2009 More

Qualified pediatricians will take the first child abuse board examination on November 16, 2009.
Posted on 9/28/2009 More

What kind of bone fractures are present or indicative of child abuse?

A: There are types of bone fractures that are highly indicative of child abuse. But any type of fracture may be associated with child abuse injuries. A healthcare provider must always evaluate a child's injury in the context of the child's developmental stage. For instance, non-ambulatory children and infants rarely fracture a bone accidentally. Therefore, it is important to correlate clinical evidence, the type and distribution of associated injuries, the developmental stage of the child with the type of fracture. Because the force required to induce fracture exceeds the force of a simple fall.

Fractures are described according to their anatomical location and characteristic features. 

Fractures highly suggestive of child abuse include sternal fractures, scapular fractures, posterior rib fractures, metaphyseal fractures (corner, bucket-handle fractures) and spinous process fractures.  

Healthcare providers should automatically consider a child at high-risk for child abuse when parents or caregivers report unwitnessed injuries or report a mechanism of injury that is not consistent with the actual injuries or when the story changes during interviews. Very minor variation in detail from witnesses may or may not be considered suspicious. Therefore, if fractures are present, not withstanding the aforementioned, multiple fractures, fractures of various stages of healing, complex skull fractures and fractures of the vertebral body are moderately suggestive of child abuse.  

The Keane Law Firm, P.C.
Russian River Valley, California
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San Francisco, California 94104
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