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Non-Accidental Injury — RACP Paediatrics MCQ

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ModerateEmergency PaediatricsNon-Accidental InjuryRACP Paediatrics

A 2-year-old presents with a limp and refusal to weight-bear. X-ray of the right tibia shows a spiral fracture. There is no history of witnessed trauma. The parents say he fell off the couch. What is the most important consideration?

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Correct answer: A — Non-accidental injury must be excluded

A spiral tibial fracture in a pre-walking or early-walking child without a clear mechanism requires consideration of NAI. A skeletal survey and child protection assessment should be performed.

Reference: RCH Melbourne – 2024 – Clinical Practice Guidelines: Child Abuse