Temporary brittle bone dis.& false abuse allegations

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

"Fern5827" wrote in message
...

Hi, Fern.

I have asked you several times, in relevan tthreads, about your position wrt
to using medication for treating the real condition of AD/HD, and you have
not responded. In fact, you have chastised me for doing so in unrelated
threads.

Since you only seem to post anti-medication articles, it seems reasonable to
ask you what your personal position is. If it embarasses you, then do not
bother to answer, as you have been doing.

But, I will keep asking.

Have a happy New Year, and, hopefully, one where you wil not defend child
abusers like Yurko.