Howare the conditionssuch asabusive head trauma and accidental head trauma differentiated from one another?
Experts determine causes of head trauma within the context of comprehensive data collection, including thorough history and clinical evaluation. There are differences in the frequency of certain types of injury patterns and clinical evidence in abuse and accidental cases. Literature supports there is a greater frequency of complex intracranial injuries in abuse cases versus accidental cases. Epidemiologic studies show infants and children fall commonly and this rarely results in complex head injury patterns. Motor vehicle crashes more commonly cause head injuries in children due to acceleration-deceleration and sudden deceleration mechanisms. Child death from a short fall is rare and should prompt investigation into possible child abuse.