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首页> 外文期刊>The Journal of the American Academy of Orthopaedic Surgeons >The Role of the Orthopaedic Surgeon in the Identification and Management of Nonaccidental Trauma
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The Role of the Orthopaedic Surgeon in the Identification and Management of Nonaccidental Trauma

机译：矫形外科医生在非认定和管理中的作用

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摘要

Nonaccidental trauma (NAT) has short- and long-term effects on the patient. The importance of identification and management of injuries related to NAT can be vital to the disruption of patterns of abuse and can ultimately save lives. The purpose of this review is to educate the orthopaedic surgeon as the frontline provider in the treatment of these patients. Understanding the risk factors for abuse, sentinel signs on clinical examination, and questionable fracture patterns related to NAT enables providers to better identify and address children at risk of abuse or neglect. Equally as important, understanding pathologic states that can mimic NAT allows the orthopaedic surgeon the tools necessary to address all patients with multiple and/or unexplained fractures. Understanding the legal expectations and protections for practicing orthopaedic surgeons as mandated reporters and the importance of a multidisciplinary approach to intervention in these settings will improve patient experiences and outcomes.
机译：非成交创伤（NAT）对患者对患者短期和长期影响。鉴定和管理与NAT有伤害的重要性可能对滥用滥用模式的破坏至关重要，最终可以挽救生命。本评论的目的是教育整形外科医生作为前线提供者治疗这些患者。了解滥用的危险因素，Sentinel对临床检查的迹象，以及与NAT相关的可疑的骨折模式使提供商能够更好地识别和满足虐待或忽视风险的儿童。同样重要的是，了解可以模仿NAT的病理状态允许整形外科医生解决满足所有多种和/或无法解释的骨折的所有患者所需的工具。了解练习矫形外科医生的法律预期和保护作为授权的记者以及多学科方法在这些环境中进行干预的重要性，将改善患者的经历和结果。

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