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Clinical Pediatrics
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Constricting Bands

Manifestations of Possible Child Abuse Case Reports and a Review

Charles Felzen Johnson, MD

Child Abuse Program, Children's Hospital, Inc., 700 Children's Drive, Columbus, OH 43205

Bands around extremities may be from congenital, infectious, accidental, or purposeful causes. The older child may reveal the cause of self-inflicted or caregiver-inflicted banding. Banding in a nonverbal child will challenge the diagnostic acumen of the physician. Bands of unknown cause, or bands that may have been placed purposefully by a caretaker, must be reported as possible child abuse. Failure of the caretaker to seek help for the consequences of a band may suggest that the bands were intentionally placed. This failure may also be construed as medical neglect. Four cases of banding, which were referred to a child abuse program for consultation, are described.

Clinical Pediatrics, Vol. 27, No. 9, 439-444 (1988)
DOI: 10.1177/000992288802700905
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