Spiral fractures are indeed a strong indication of physical child abuse, especially in non-ambulatory children, and they typically result from a twisting motion, often affecting long bones like the humerus or femur. While they can occur accidentally in older children and adults, in young children, they raise concerns of abuse.

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Spiral Fractures Are

Question 14

Multiple Choice

Spiral fractures are

A) a very strong indication of physical child abuse.
B) usually a break in the humerus or femur that is the result of a twisting motion.
C) can occur if a child under three years old catches his or her foot and falls down causing the injury.
D) both a and b.

Correct Answer: