Temp brittle bone disease& false abuse allegations. Infants removed

We had a poster on ascps who fought close to a year to have his infant returned
to the care of his wife and himself.

Looks like the science is NOT that infalliable, after all.


Subject: Temp brittle bone syn exists- Child abuse com. denies
From: (Fern5827)
Date: 1/7/2004 2:42 PM Eastern Standard Time
Message-id:

Greg, here it is. Read down to bottom- my comments there.


Subject: Temporary brittle bone dis.& false abuse allegations
From: (Fern5827)
Date: 1/7/2004 10:03 AM Eastern Standard Time
Message-id:

Subject: Child abuse *experts* shot down-provable temp brittle bone disease
From: (Fern5827)
Date: 1/7/2004 9:55 AM Eastern Standard Time
Message-id:

Subject: Temp brittle bone syn exists- Child abuse com. denies
From: (Fern5827)
Date: 1/7/2004 9:48 AM Eastern Standard Time
Message-id:

Note: This is an abstract from the respected journal "Bone" which documents the
existence of temporary brittle bone disease, and which recognizes what a THREAT
IT POSES TO THE CHILD ABUSE INDUSTRY.


: Bone. 2003 Oct;33(4):466-74. Related Articles, Links


The lesson of temporary brittle bone disease: all bones are not created equal.

Miller ME.

Temporary brittle bone disease (TBBD) is a recently described phenotype of
multiple, unexplained fractures in the first year of life and predominantly in
the first 6 months of life. There is usually no other injury such as bruising,
subdural hematomas, retinal hemorrhages, or other internal organ injury. The
susceptibility to fracture is transient, and there are no other radiographic or
biochemical abnormalities noted in the standard evaluation that might suggest
an underlying cause. The child abuse and pediatric radiology communities have,
for the most part, been unwilling to accept this as a real condition, for they
believe it is a ruse for child abuse. This review describes the experience of
the author in evaluating infants with multiple unexplained fractures and the
hypothesis that has emerged for explaining TBBD. The hypothesis is a prenatal
application of the mechanostat/bone loading theory of bone formation and states
that TBBD is caused by fetal immobilization which leads to fetal bone unloading
and transient, relative osteopenia. Such susceptible infants can fracture with
routine handling and present with a pattern of fractures that is similar to
that which has been thought to be highly specific for child abuse. The review
presents: (a) the evidence that indicates that normal fetal movement is
important for normal fetal bone strength, (b) a critique of the radiologic
approach in the diagnosis of child abuse in infants with multiple unexplained
fractures, (c) observations that would indicate that child abuse is unlikely in
infants with TBBD, and (d) new approaches to the infant with multiple
unexplained fractures that would assist in accurate diagnosis.

Publication Types:
Editorial

PMID: 14555249 [PubMed - in process]

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DESCRIPTORS; CPS, OSTEOGENESIS IMPERFECTA, BONES, SKELETON, INFANCY, CHILD
PROTECTIVE, DSS, DHS,DHR, TDPRS, DHS, DFS, ACS, DHS, DYFS, DFYS, CSB, FIA,
EARLY CHILDHOOD, BONE FORMATION, CALCIUM, DSS, DCF, DSHS, SKELETAL ANAMOLIES





The Journal is "Bone" dated 2003.

To find out more--I think it just has the abstract, and NOT the complete
article, go to:

http://www.pubmed.gov

This is a link to the National Library of Medicine which archives world-wide
medical publications.

To get a complete full text of article, the Website has links for PAY for the
complete article. Otherwise, you would have to call a local large medical
library--like at a medical school affiliated with a university and see if the
Periodical section subscribes to the Journal "Bone."





Greg asked (I knew this one would create a bombshell! )

From: (Greg Hanson)
Date: 1/7/2004 2:31 PM Eastern Standard Time
Message-id:

The child abuse and pediatric radiology communities
have, for the most part, been unwilling to accept this
as a real condition, for they believe it is a ruse for child
abuse. This review describes the experience of the
author in evaluating infants with multiple unexplained
fractures and the hypothesis that has emerged for
explaining TBBD.

Fern, Do you have any links? It looks like there is more.
I would really like to see the rest of this.