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CURBSIDE CONSULT

When Its Just a Bump on the Head: Interpreting Skull Fractures in the Context of Child Maltreatment

James Metz, MD MPH

Our goal is a concise, comprehensive overview of interpreting skull fractures with these objectives:

  • Recognize that not all skull fractures in children are the same
  • Analyze a case and identify nuances in skull fractures in children
    • Importance of developmental level
    • Challenges of dating skull fractures
    • Importance of the full picture
  • Develop a more nuanced approach to responding to skull fractures in children

Dr. Metz is a board certified child abuse pediatrician and an Associate Professor of Pediatrics, Child Abuse Medicine, at the University of Vermont Children’s Hospital.

August 2025