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Carrol A. Gross, RN, MSN
San Francisco State University

Richard C. Gross, MD
University of California Medical Center San Francisco

JAMA. 1976;235(23):2475.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—

Biber in his article, "Iatrogenic Skull Fracture Depression by Use of a Head Clamp" (235:414, 1976) has made an important contribution to the literature of diagnostic radiology, neurology and traumatic medicine. We are, however, concerned that the case report did not mention child abuse as a possible source of the original trauma. The history of a 6-week old infant rolling out of a crib is incompatible with his expected motor development. While a fall of less than 1 meter could result in an injury of this degree, it seems likely that greater force was involved. Weston has found that the most common history reported by first-time abusing parents is a fall from crib, lap, or down stairs.¹

A case such as reported should contain assurances that child abuse was evaluated through appropriate radiologic screening, interview, or follow-up. Medical and allied health professionals should be suspicious of an . . . [Full Text PDF of this Article]

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